Individual
DR. THOMAS RICE WILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
N6205 BUSSE RD, GREEN LAKE, WI 54941-8500
(920) 294-3444
(920) 294-6660
Mailing address
PO BOX 429, N6250 BUSSE DRIVE, GREEN LAKE, WI 54941-0429
(920) 294-3444
(920) 294-6660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17659
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30020000
—
WI
01
—
391253020
TAX IDENTIFICATION NUMBER
WI
01
—
391253020013
BLUE CROSS/BLUE SHIELD
WI
Enumeration date
07/28/2005
Last updated
12/31/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us