Mai Tong Thao
NPI #1144108598 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1144108598
- Entity Type
- Individual
- Name
- Mai Tong Thao
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 25, 2025
- Last Updated
- Aug 25, 2025
Practice Location
- Address
- 6737 W WASHINGTON ST STE 2150
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-5649
- Phone
- (414) 238-1771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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