Search › Wisconsin › 207Q00000X
Thomas Licata, DO
NPI 1427638659 · on the registry since 2021
Practice
- Address
- 333 Pine Ridge Blvd
Wausau, WI 54401 - Phone
- (715) 675-3391
- Organisation at this address
- Aspirus Wausau Hospital
Aspirus Wausau Hospital
Hyperbaric Associates Sc
Aspirus Medical Group, Inc.
Aspirus Medical Group, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 183
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-03
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