| Thomas J Kalinosky DO | |
|
215 Corporate Dr Suite G Beaver Dam WI 53916-3123 | |
| (920) 887-7692 | |
| (920) 887-7694 |
| Full Name | Thomas J Kalinosky DO |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Corporate Dr, Beaver Dam, Wisconsin |
| Authorized Official Name and Position | Thomas J Kalinosky (OWNER DO) |
| Authorized Official Contact | 9208877692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Kalinosky DO 215 Corporate Dr Suite G Beaver Dam WI 53916-3123 Ph: (920) 887-7692 | Thomas J Kalinosky DO 215 Corporate Dr Suite G Beaver Dam WI 53916-3123 Ph: (920) 887-7692 |
| NPI Number | 1992876734 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992876734 | NPI | - | NPPES |
| 43959900 | Medicaid | WI | |
| 30016200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24188 (Wisconsin) | Primary |
(inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/ot/st Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 S University Ave Ste 150, Beaver Dam, WI 53916 Phone: 920-219-4009 Fax: 920-219-9709 |
Ayaz Samandani MD SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Corporate Dr, Suite H, Beaver Dam, WI 53916 Phone: 920-887-7731 Fax: 920-887-3201 |
Ayaz M. Samadani, MD, SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Corporate Dr, Suite H, Beaver Dam, WI 53916 Phone: 920-887-7731 |
(inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 S University Ave Ste 360, Beaver Dam, WI 53916 Phone: 920-356-6588 Fax: 920-356-6567 |
Quad/med, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Corporate Dr Ste A, Beaver Dam, WI 53916 Phone: 414-566-4000 |
(inactive) Marshfield Medical Center - Beaver Dam Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Warren St Ste 132, Beaver Dam, WI 53916 Phone: 920-887-7181 Fax: 920-887-6833 |