Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 35184 | WI |
N | 207RX0202X | Medical Oncology | 35087459 | OH |
NPI | 1023026267 |
---|---|
Provider Name | James P. Thomas |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 15/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023026267 | (05) | WI |
2626537 | (05) | OH |
G33336 | (02) | OH |