MAI TONG THAO

WEST ALLIS, WI
NPI1144108598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  16929-33)
Enumeration Date2025-08-25
Last Update Date2025-08-25
Business Address
MAI TONG THAO
6737 W WASHINGTON ST STE 2150
WEST ALLIS, WI 53214-5649
Phone number: 414-238-1771
Mailing Address
MAI TONG THAO
155 N DECHANT RD
BROOKFIELD, WI 53005-3906
Phone number: