PHILIP THOMAS SKUMMER

GREEN BAY, WI
NPI1104386911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: WI  76025-20)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-20
Last Update Date2025-06-26
Business Address
PHILIP THOMAS SKUMMER
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-6084
Mailing Address
PHILIP THOMAS SKUMMER
9200 W WISCONSIN AVE RM 2803
MILWAUKEE, WI 53226-3522
Phone number: