Provider Demographics
NPI:1922072966
Name:SCHLESINGER, THOMAS K (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:K
Last Name:SCHLESINGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3536 MENDOCINO AVE
Mailing Address - Street 2:SUITE 380
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-3612
Mailing Address - Country:US
Mailing Address - Phone:707-575-5353
Mailing Address - Fax:707-523-7729
Practice Address - Street 1:3536 MENDOCINO AVE
Practice Address - Street 2:SUITE 380
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-3634
Practice Address - Country:US
Practice Address - Phone:707-575-5353
Practice Address - Fax:707-523-7729
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2021-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA78100207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA78100OtherSTATE LICENSE
CAP00323516OtherMEDICARE RAILROAD
CAA78100OtherSTATE LICENSE