Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Foot and Ankle Surgery
Enumerated
Feb 21, 2006
License(s)
35.055230A (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3901 STEWART AVE | Wausau, WI 54401-3948 | 715-907-0900 |
| MAILING | 710 HOME RD | Delaware, OH 43015-8906 | 740-909-3093 |
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