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Individual

THOMAS ROBERT SCHLUETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
(920) 405-1403
Mailing address
PO BOX 19070, PREVEA HEALTH, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 405-1403

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34796
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34035600
WI
Enumeration date
07/17/2006
Last updated
08/13/2008
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