Thomas P Peller Md Sc | |
714 W Hamilton Ave Eau Claire WI 54701-6937 | |
(715) 830-9990 | |
(715) 830-9995 |
Full Name | Thomas P Peller Md Sc |
---|---|
Speciality | Internal Medicine |
Location | 714 W Hamilton Ave, Eau Claire, Wisconsin |
Authorized Official Name and Position | Thomas P Peller (DIRECTOR PRESIDENT) |
Authorized Official Contact | 7158309990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Thomas P Peller Md Sc 714 W Hamilton Ave Eau Claire WI 54701-6937 Ph: (715) 830-9990 | Thomas P Peller Md Sc 714 W Hamilton Ave Eau Claire WI 54701-6937 Ph: (715) 830-9990 |
NPI Number | 1215008875 |
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Provider Enumeration Date | 11/13/2006 |
Last Update Date | 03/10/2009 |
Medicare PECOS PAC ID | 9537174651 |
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Medicare Enrollment ID | O20060210000473 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215008875 | NPI | - | NPPES |
32016000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 34997 (Wisconsin) | Primary |
Provider Name | Thomas P Peller |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1497715726 PECOS PAC ID: 9830103746 Enrollment ID: I20060131000282 |
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