Search › Wisconsin › 1041C0700X
Thomas Bolan, LCSW, CSAC
NPI 1770703431 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3207 Laura Ln Ste 100
Middleton, WI 53562 - Phone
- (608) 290-0956
- Organisation at this address
- Hanna Medical Clinic Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
101YM0800X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-28
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