Marshall, Thomas G

Marshall, Thomas G is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Marshall, Thomas G can be contacted via phone (920) 433-3500.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 33892-020 Wisconsin

Profile Details

NPI number 1669456182
LBN Legal business name Marshall, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Feb 15th, 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 1669456182 NPPES
Wisconsin MEDICAID 43361300
Wisconsin Other 050032232

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