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OIG exclusion detail

MANUEL THOMAS

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
1790870558
Name
MANUEL J THOMAS
Address
1337 CANTERBURY CIR, BROOKFIELD, WI, 53005
Specialty
GENERAL PRACTICE
Exclusion type
1128b4
Exclusion date
20220220
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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