NPI 1013345339

PO Ze Thao

Practitioner Driver Madison, WI

Practice location

Address: 1501 Trailsway APT 1, Madison, WI 53704-2931
Phone: (608) 438-0681

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 7917 (WI)

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Registry record

NPI: 1013345339
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2013
Record last updated: 23 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.