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NPI 1861019804

IndividualActive

Thomas Sampson

NPI 1861019804 · Nutritionist · Menomonie, WI

Provider details

NPI number: 1861019804
Entity type: Individual
Primary specialty: NutritionistDietary & Nutritional Service Providers
Sex: Male
Sole proprietor: No
License: 1124661

Practice location

2021 Broadway St S

Menomonie, WI 54751-3950

Phone: (715) 308-3837

More WI providers

Mailing address

2021 Broadway St S

Menomonie, WI 54751-3950

Registry dates

Enumerated: 2020-06-25
Last updated: 2020-06-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Thomas Sampson — NPI 1861019804, Menomonie, WI | NPI Central