Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 50897-020 | WI |
NPI | 1013125186 |
---|---|
Provider Name | Tom M Murphy |
First Address | Racine, WI 53406-7638 |
Second Address | Racine, WI 53406-7638 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2007 |
Last Update Date | 12/12/2007 |