Thomas R. Perry, M.d.,s.c. | |
611 Sherman Ave E Fort Atkinson WI 53538-1960 | |
(920) 568-5334 | |
Not Available |
Full Name | Thomas R. Perry, M.d.,s.c. |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 611 Sherman Ave E, Fort Atkinson, Wisconsin |
Authorized Official Name and Position | Susan Perry (OFFICE MANAGER) |
Authorized Official Contact | 6083256664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas R. Perry, M.d.,s.c. 2229 15th St Monroe WI 53566-2116 Ph: (608) 325-6664 | Thomas R. Perry, M.d.,s.c. 611 Sherman Ave E Fort Atkinson WI 53538-1960 Ph: (920) 568-5334 |
NPI Number | 1013065598 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 05/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013065598 | NPI | - | NPPES |
569574 | Other | WI | DEAN HEALTH PLAN |
31804600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 22619 (Wisconsin) | Primary |
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