Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 33299-20 | WI |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 33299 | WI |
NPI | 1053332494 |
---|---|
Provider Name | Dr. Thomas Michael Naughton |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53704-3732 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 04/02/2021 |