MEDICARE: THOMAS H DUNIGAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	22343	WI

General Provider Information

NPI Number	:	1891795142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS H DUNIGAN M.D.

Provider Business Mailing Address
First Line	:	420 E DIVISION ST
Second Line	:
City	:	FOND DU LAC
State	:	WI
Zip	:	54935-4560
Country	:	US
Telephone Number	:	920-926-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 E DIVISION ST
Second Line	:
City	:	FOND DU LAC
State	:	WI
Zip	:	54935-4560
Country	:	US
Telephone Number	:	920-926-4800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	12/01/2020

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