Thomas Licata, DO is a student in an organized health care education training program in Wausau, WI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Thomas Licata, DO NPI is 1427638659. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
425 WIND RIDGE DR
WAUSAU, WI
ZIP 54401-149
Phone: (715) 675-3391
The enumeration date for this NPI number is 4/12/2021 and was last updated on 4/12/2021.