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Thomas Joseph Green III
Student in an Organized Health Care Education/Training Program in Kenosha, Wisconsin
NPI 1043844988

Thomas Joseph Green III is a Student in an Organized Health Care Education/Training Program based in Kenosha, WI. Thomas Joseph Green III practices in Kenosha, WI. The NPI Number for Thomas Joseph Green III is 1043844988 and holds a License No. (Wisconsin).

The current practice location address for Thomas Joseph Green III is 2001 Alford Park Dr, Kenosha, WI and can be reached out via phone at 574-910-0586.

Location: 2001 Alford Park Dr, Kenosha, WI, 53140-1994
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043844988
Provider Name
Thomas Joseph Green III
Credential
Provider Entity Type
Individual
Gender
Male
Address
2001 Alford Park Dr, Kenosha, WI, 53140-1994
Phone Number
574-910-0586
Fax Number
Provider Enumeration Date
03/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Alford Park Dr
City
Kenosha
State
Wisconsin
Zip
53140-1994
Phone Number
574-910-0586
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Alford Park Dr
City
Kenosha
State
Wisconsin
Zip
53140-1994
Phone Number
574-910-0586
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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