Individual
MR. THOMAS RICHARD YEDICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
505 PARK AVE, SHEBOYGAN, WI 53081-2871
(920) 803-8039
Mailing address
505 PARK AVE, SHEBOYGAN, WI 53081-2871
(920) 803-8039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20848-130
WI
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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