Individual
BRIAN LEE THORSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.,C
Contact information
Practice address
504 EAST BLF, MADISON, WI 53704-2310
(608) 242-7788
Mailing address
504 EAST BLUFF, MADISON, WI 53704
(608) 242-7788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
023702
WI
Other
Enumeration date
02/16/2006
Last updated
07/08/2007
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