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Individual

DR. THOMAS GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5000
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(920) 563-4466

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125064028
IL
208M00000X
Hospitalist Physician
036140741
IL
208M00000X
Hospitalist Physician
Primary
21653-875
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125064028
PHYSICIAN TEMPORARY LICENSE
IL
Enumeration date
07/03/2013
Last updated
10/07/2022
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