Gennarelli, Thomas A

Gennarelli, Thomas A is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Froedtert & Med College Clin - West, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Gennarelli, Thomas A can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
9200 W Wisconsin Ave Froedtert & Med College Clin - West Milwaukee WI 53226-3522
Phone: (414) 805-3666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 41258 Wisconsin

Profile Details

NPI number 1891746756
LBN Legal business name Gennarelli, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1891746756 NPPES
Wisconsin MEDICAID 32567800

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