Search › Wisconsin › 367500000X
Thomas Boostrom, CRNA
NPI 1164773685 · on the registry since 2012
Practice
- Address
- 800 N 1st St
Wausau, WI 54403 - Phone
- (715) 362-2600
- Organisation at this address
- Eye Clinic Of Wisconsin Sc
Midwest Alliance Services Llc
Ec Laser And Surgery Institute Of Wi, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Additional practice sites
- 2251 N Shore Dr, Rhinelander, WI
- 112 Jefferson St, West Union, IA
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 367500000X
- Licence states on file
- IA, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin