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1871181065
TOMMY HA QUACH
MENOMONEE FALLS, WI
NPI
1871181065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: WI 179-17)
Enumeration Date
2021-01-04
Last Update Date
2024-01-31
Business Address
TOMMY HA QUACH CAA
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051-3518
Phone number: 262-251-1000
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Mailing Address
TOMMY HA QUACH CAA
11011 W NORTH AVE APT 469
WAUWATOSA, WI 53226-2275
Phone number: 832-228-2979
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