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1063611820
LYLE G. HENRY MD SC
MILWAUKEE, WI
NPI
1063611820
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Entity Type
Organization
Authorized Contact
LYLE GENE HENRY
President
414-961-2120
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: WI 18454)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
LYLE G. HENRY MD SC
2015 E NEWPORT AVE STE 305
MILWAUKEE, WI 53211-2949
Phone number: 414-961-2120
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Mailing Address
LYLE G. HENRY MD SC
2015 E NEWPORT AVE STE 305
MILWAUKEE, WI 53211-2949
Phone number: 414-961-2120
Copy
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