Individual
LAWRENCE C TSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70841
WI
208M00000X
Hospitalist Physician
Primary
70841
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087298
—
WI
Enumeration date
04/02/2017
Last updated
10/13/2022
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