Tom Brosnahan PA

NPI 1972601730 - Physician Assistant - 363A00000X

NPI Details
NPI 1972601730
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 N OAK AVE
MARSHFIELD WI, 54449, US
Phone (715) 387-5309
Fax
Business Location
1000 N OAK AVE
MARSHFIELD WI, 54449-5777, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 60
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According to our database, Tom Brosnahan PA NPI is 1972601730, taxonomy code is 363A00000X and license number is 60, license state is located at Wisconsin. Tom Brosnahan PA physically located at 1000 N Oak Ave, Marshfield WI, 54449. NPI Number Tom Brosnahan PA has the Individual type.

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1972601730 NPI number is provided on an as is basis without warranty of any kind. 1972601730 is maintained by the National Plan & Provider Enumeration System. The contents of Tom Brosnahan PA are for informational purposes only.