Individual
DR. THOMAS G FENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 W. KINNICKINNIC RIVER PKWY., SUITE 925, MILWAUKEE, WI 53215
(414) 385-2499
(414) 385-2748
Mailing address
2801 W. KINNICKINNIC RIVER PKWY., SUITE 925, MILWAUKEE, WI 53215
(414) 385-2499
(414) 385-2748
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
32284
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32279000
—
WI
Enumeration date
11/02/2005
Last updated
09/08/2009
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