Puetz, Thomas R.

Puetz, Thomas R. is an individual health care provider with primary practice located at 12203 Corporate Pkwy , Mequon WI 53092-3388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Puetz, Thomas R. can be contacted via phone (262) 387-8200.

Contact Information

Primary practice address
12203 Corporate Pkwy Mequon WI 53092-3388
Phone: (262) 387-8200
Fax: (262) 387-8271
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 32359 Wisconsin

Profile Details

NPI number 1295765287
LBN Legal business name Puetz, Thomas R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 1st, 2021 - about 4 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 1295765287 NPPES
Wisconsin Other P00465809 RR MEDICARE
Wisconsin MEDICAID 31770900 RR MEDICARE

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