Kenneth Thomson, DO | |
10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315 | |
(517) 205-3994 | |
Not Available |
Full Name | Kenneth Thomson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 10625 W North Ave Ste 101b, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306408315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 81129-21 (Wisconsin) | Primary |
Entity Name | Emergency Medicine Specialists Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568413524 PECOS PAC ID: 8729975461 Enrollment ID: O20040228000032 |
Entity Name | Ascension Calumet Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
Mailing Address | Practice Location Address |
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Kenneth Thomson, DO 10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315 Ph: () - | Kenneth Thomson, DO 10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315 Ph: (517) 205-3994 |
Dr. Carlos E Feliciano, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd, Suite 505, Wauwatosa, WI 53226 Phone: 414-727-8380 | |
Michelle Wavra, APNP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10625 W North Ave Ste 101b, Wauwatosa, WI 53226 Phone: 414-877-5353 | |
Brenna Marie Tomczak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10625 W North Ave Ste 101b, Wauwatosa, WI 53226 Phone: 414-877-5350 Fax: 414-877-5360 | |
Yevgenia Shmelkova, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10625 W North Ave Ste 102, Wauwatosa, WI 53226 Phone: 414-877-5350 Fax: 414-877-5360 | |
Madeline Rose Kenzie, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10625 W North Ave Ste 101b, Wauwatosa, WI 53226 Phone: 414-877-5350 | |
Dr. Mohammed Ibbad Yousuf, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10625 W North Ave Ste 101b, Wauwatosa, WI 53226 Phone: 414-727-9183 |