Thomas Traxler PA-C

NPI 1902092513 - Physician Assistant - 363A00000X

NPI Details
NPI 1902092513
Gender Male
Enumeration Date 09/18/2007
Last Updated 04/27/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
3001 GREEN BAY RD
NORTH CHICAGO IL, 60064-3048, US
Phone (224) 610-7085
Fax
Business Location
3001 GREEN BAY RD
NORTH CHICAGO IL, 60064-3048, US
Phone (224) 610-7085
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085-003180
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According to our database, Thomas Traxler PA-C NPI is 1902092513, taxonomy code is 363A00000X and license number is 085-003180, license state is located at Illinois. Thomas Traxler PA-C physically located at 3001 Green Bay Rd, North Chicago IL, 60064-3048. NPI Number Thomas Traxler PA-C has the Individual type.

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1902092513 NPI number is provided on an as is basis without warranty of any kind. 1902092513 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Traxler PA-C are for informational purposes only.