Individual
AMY NICOLE THRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4855 S MOORLAND RD FL 3, NEW BERLIN, WI 53151-7494
(262) 432-7599
(262) 432-7694
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
51832
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821200544
—
WI
Enumeration date
05/04/2007
Last updated
02/24/2021
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