Stanwyck, Thomas Scott

Stanwyck, Thomas Scott is an individual health care provider with primary practice located at 1231 George Towne Dr Suite B, Pewaukee WI 53072. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Stanwyck, Thomas Scott can be contacted via phone (262) 746-9088.

Contact Information

Primary practice address
1231 George Towne Dr Suite B Pewaukee WI 53072
Phone: (262) 746-9088
Fax: (262) 544-6820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 34171 Wisconsin

Profile Details

NPI number 1265414866
LBN Legal business name Stanwyck, Thomas Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Dec 7th, 2017 - about 8 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 1265414866 NPPES
Wisconsin MEDICAID 31980400

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