Dr. M Thomas Chemotti
Ophthalmologist
N54w6135 Mill St
Cedarburg
, Wisconsin 53012-2021
Dr. M Thomas Chemotti
Ophthalmologist
N54w6135 Mill St
Cedarburg
, Wisconsin 53012-2021
(262) 377-8118
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. M Thomas Chemotti
- Po Box 503
- Cedarburg, WI
- Zip : 53012-0503
- Phone : (262) 377-8118
Second Address
- Dr. M Thomas Chemotti
- N54w6135 Mill St
- Cedarburg, WI
- Zip : 53012-2021
- Phone : (262) 377-8118
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 21631 | WI |
National Provider Identifier
| NPI | 1003885914 |
|---|---|
| Provider Name | Dr. M Thomas Chemotti |
| First Address | Cedarburg, WI 53012-0503 |
| Second Address | Cedarburg, WI 53012-2021 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2006 |
| Last Update Date | 13/11/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 21631 | STATE MD LICENSE (01) | WI |
| B84765 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.