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1023080207
MICHAEL JAY PHILLIPS, MD, SC
OCONOMOWOC, WI
NPI
1023080207
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Entity Type
Organization
Authorized Contact
MICHAEL JAY PHILLIPS
Owner
262-523-1245
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2006-02-02
Last Update Date
2013-02-27
Business Address
MICHAEL JAY PHILLIPS, MD, SC
1239 CORPORATE CENTER DR
OCONOMOWOC, WI 53066-4898
Phone number: 262-569-8346
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Mailing Address
MICHAEL JAY PHILLIPS, MD, SC
1239 CORPORATE CENTER DR
OCONOMOWOC, WI 53066-4898
Phone number: 262-569-8346
Copy
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