MARK SCOTT HERBERT

SHAWANO, WI
NPI1003178807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  2986)
Enumeration Date2012-06-08
Last Update Date2012-06-08
Business Address
-- MARK SCOTT HERBERT
N4231 STATE HIGHWAY 22
SHAWANO, WI 54166-6130
Phone number: 715-526-3158
Mailing Address
-- MARK SCOTT HERBERT
N4231 STATE HIGHWAY 22
SHAWANO, WI 54166-6130
Phone number: 715-526-3158
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