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1952718348
THOMAS C ANDERSON
PEWAUKEE, WI
NPI
1952718348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3371-23)
Enumeration Date
2014-07-17
Last Update Date
2019-12-06
Business Address
THOMAS C ANDERSON
N15W28300 GOLF RD
PEWAUKEE, WI 53072-4800
Phone number: 262-544-5311
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Mailing Address
THOMAS C ANDERSON
N15W28300 GOLF RD
PEWAUKEE, WI 53072-4800
Phone number: 262-303-5055
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