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Dr. Thomas Screnock, MD
General Practice Physician in Osseo, Wisconsin
NPI 1619932878

Thomas Screnock is a General Practice Physician based in Osseo, WI. Thomas Screnock practices in Osseo, WI and has the professional credentials of MD. The NPI Number for Thomas Screnock is 1619932878 and holds a License No. 17180 (Wisconsin).

The current practice location address for Thomas Screnock is 12830 Cox Lane, Osseo, WI and can be reached out via phone at 715-597-6767 and via fax at 715-597-2819.

Location: 12830 Cox Lane, Osseo, WI, 54758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619932878
Provider Name
Thomas Screnock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12830 Cox Lane, Osseo, WI, 54758
Phone Number
715-597-6767
Fax Number
715-597-2819
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31064100 05 WI
institution
Provider Business Practice Location Address Details
Address
12830 Cox Lane
City
Osseo
State
Wisconsin
Zip
54758
Phone Number
715-597-6767
Fax Number
715-597-2819
person
Provider Business Mailing Address Details
Address
12830 Cox Lane
City
Osseo
State
Wisconsin
Zip
54758
Phone Number
715-597-6767
Fax Number
715-597-2819
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
17180 (Wisconsin)
Definition
Definition to come...
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