Fenske, Thomas G

Fenske, Thomas G is an individual health care provider with primary practice located at 2801 W. Kinnickinnic River Pkwy. Suite 925, Milwaukee WI 53215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Fenske, Thomas G can be contacted via phone (414) 385-2499.

Contact Information

Primary practice address
2801 W. Kinnickinnic River Pkwy. Suite 925 Milwaukee WI 53215
Phone: (414) 385-2499
Fax: (414) 385-2748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 32284 Wisconsin

Profile Details

NPI number 1912998576
LBN Legal business name Fenske, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Sep 8th, 2009 - about 15 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 1912998576 NPPES
Wisconsin MEDICAID 32279000

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