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1003838111
EDWARD ST VILLE
ST FRANCIS, WI
NPI
1003838111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: WI 36436)
Enumeration Date
2006-07-25
Last Update Date
2024-09-09
Business Address
EDWARD ST VILLE M.D
2000 E LAYTON AVE
ST FRANCIS, WI 53235-6053
Phone number: 414-744-6589
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Mailing Address
EDWARD ST VILLE M.D
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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