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1013197862
ACADEMIC DERMATOLOGY & MOHS SURGERY SC
WAUWATOSA, WI
NPI
1013197862
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Entity Type
Organization
Authorized Contact
MANISH J GHARIA
Owner/President
414-258-3376
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2007-11-09
Last Update Date
2008-03-24
Business Address
ACADEMIC DERMATOLOGY & MOHS SURGERY SC
201 N MAYFAIR RD SUITE 550
WAUWATOSA, WI 53226-4216
Phone number: 414-258-3376
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Mailing Address
ACADEMIC DERMATOLOGY & MOHS SURGERY SC
4555 W SCHROEDER DR SUITE 170
MILWAUKEE, WI 53223-1475
Phone number: 414-365-3210
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