Individual
DAVID THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
1231 MONROE ST, WAUSAU, WI 54403-6546
(830) 765-2627
Mailing address
1231 MONROE ST, WAUSAU, WI 54403-6546
(830) 765-2627
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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