Aufderheide, Tom P

Aufderheide, Tom P is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Department Of Emergency Medicine, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Aufderheide, Tom P can be contacted via phone (414) 805-6450.

Contact Information

Primary practice address
9200 W Wisconsin Ave Department Of Emergency Medicine Milwaukee WI 53226-3522
Fax: (414) 805-6464
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 26525 Wisconsin

Profile Details

NPI number 1336190859
LBN Legal business name Aufderheide, Tom P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 22nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336190859 NPPES
Wisconsin MEDICAID 1336190859
Wisconsin MEDICAID 30339100
Wisconsin Other 002000108O

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