| Dr Thomas Rice Willett, DO | |
|
N6205 Busse Rd, Green Lake, WI 54941-8500 | |
| (920) 294-3444 | |
| (920) 294-6660 |
| Full Name | Dr Thomas Rice Willett |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | N6205 Busse Rd, Green Lake, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902806243 | NPI | - | NPPES |
| 391253020 | Other | WI | TAX IDENTIFICATION NUMBER |
| 30020000 | Medicaid | WI | |
| 391253020013 | Other | WI | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17659 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Rice Willett, DO Po Box 429, N6250 Busse Drive, Green Lake, WI 54941-0429 Ph: (920) 294-3444 | Dr Thomas Rice Willett, DO N6205 Busse Rd, Green Lake, WI 54941-8500 Ph: (920) 294-3444 |
Courtney Mcclintic, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 670 County Road A, Green Lake, WI 54941 Phone: 920-294-0100 Fax: 920-294-0123 | |
Jared M. Kohlenberg, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 670 County Road A, Green Lake, WI 54941 Phone: 920-294-0100 Fax: 920-294-0123 |