Peter Thao

NPI #1982288825 in Butler, Wisconsin

Provider Information

NPI Number: 1982288825
Entity Type: Individual
Name: Peter Thao
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: May 6, 2021
Last Updated: May 6, 2021

Practice Location

Address: 12714 W HAMPTON AVE STE F
City: Butler
State: Wisconsin
ZIP Code: 53007-1640
Phone: (414) 758-3287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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