Organization
MORELAND EAR NOSE & THROAT GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PATRICK BELSON M.D. (OTOLARYNGOLOGIST)
(262) 547-1614
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST, SUITE 102, WAUKESHA, WI 53188-3417
(262) 547-1614
Mailing address
1111 DELAFIELD ST, SUITE 102, WAUKESHA, WI 53188-3417
(262) 547-1614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15625
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31213300
—
WI
05
—
31224500
—
WI
05
—
3122500
—
WI
05
—
31837100
—
WI
05
—
34012700
—
WI
01
—
390708553
DR. EDWARD KASS SS#
WI
01
—
391303765
DR. THOMAS BELSON
WI
01
—
396425705
DR. WILLIAM DARLING SS#
WI
01
—
398403074
DR. RONALD DARLING
WI
01
—
399564070
DR. MARY FOX SS#
WI
Enumeration date
02/02/2006
Last updated
06/17/2009
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