Search › Wisconsin › 363A00000X
Thalia Noegroho
NPI 1598229965 · on the registry since 2019 · sole proprietor
Practice
- Address
- 700 S Park St Ste A
Madison, WI 53715 - Phone
- (608) 260-2900
- Fax
- (608) 260-2976
- Organisation at this address
- Dean Retail Services Inc
Dean Health Systems, Inc
Madison Radiologists S C
Dean Health Systems, Inc.
Associated Pathologists, ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 534
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 106S00000X
390200000X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-07
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