| 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 |
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