Ciecierega, Thomas M.

Ciecierega, Thomas M. is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Ciecierega, Thomas M. can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Phone: (414) 805-3666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 51693 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 262607 New York

Profile Details

NPI number 1467615914
LBN Legal business name Ciecierega, Thomas M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2008
Last updated Dec 27th, 2023 - about 2 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 1467615914 NPPES
Wisconsin MEDICAID 35208900

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