Individual
DR. THOMAS JOSEPH ALTSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 ABRAHAM FLEXNER WAY STE 1200, LOUISVILLE, KY 40202-3826
(502) 899-3623
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
45502
KY
207T00000X
Neurological Surgery Physician
MD28177
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100224580
—
KY
Enumeration date
05/14/2008
Last updated
03/17/2018
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