Va Tomah is a Medical in Maiden Rock, Wisconsin. Va Tomah practices all healthcare services and medical treatments related to Medical. The NPI Number for Va Tomah is 1669577623. The last update date is 2020-08-22.
Va Tomah's current location address is W2090 310th Ave, Maiden Rock, Wisconsin. You can contact this provider via phone number 7156475104. The mailing address for Va Tomah is W2090 310th Ave, Maiden Rock, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Va Tomah |
|---|---|
| Address | W2090 310th Ave, Maiden Rock, Wisconsin |
| Phone Number | 7156475104 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PA-C |
|---|---|
| Authorized Official Name | Spindler Therese Lynn |
| Credentials | PA |
| Telephone Number | 6083721169 |
NPI Number Detail
| NPI Number | 1669577623 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | W2090 310th Ave |
|---|---|
| City | Maiden Rock |
| State | Wisconsin (WI) |
| Post Code | 547508311 |
| Phone Number | 7156475104 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 110-023 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code issued to Va Tomah by the Centers for Medicare & Medicaid Services?
The Va Tomah has been assigned the NPI (National Provider Identifier) 1669577623 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Va Tomah is physically located?
The Va Tomah is situated at the following address: W2090 310Th Ave, Maiden Rock, WI 547508311.
What is Va Tomah's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Va Tomah is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Va Tomah receive its 1669577623 assignment from the Centers for Medicare & Medicaid Services?
The Va Tomah was assigned its 1669577623 by the Centers for Medicare & Medicaid Services on 2006-09-14.
As of what date were the Va Tomah's details last updated?
The information pertaining to the Va Tomah, including its address, specialty, and other details, was most recently updated on 2020-08-22.