Thomas Humphrey, PA

NPI #1275623423 in Weston, Wisconsin

Provider Information

NPI Number: 1275623423
Entity Type: Individual
Name: Thomas Humphrey, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3501 CRANBERRY BLVD
City: Weston
State: Wisconsin
ZIP Code: 54476-5213
Phone: (715) 387-5275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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