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Individual

MR. THOMAS ALLEN GEER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
225 E CHURCH ST, DODGEVILLE, WI 53533-1207
(608) 937-0318
Mailing address
PO BOX 62, DODGEVILLE, WI 53533-0062
(608) 574-6299

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38314800
WI
Enumeration date
05/08/2006
Last updated
10/22/2007
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