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1104058528
MATTHEW T CZERNIAK
RACINE, WI
NPI
1104058528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2489-023)
Enumeration Date
2009-08-18
Last Update Date
2009-08-18
Business Address
-- MATTHEW T CZERNIAK PA-C
3801 SPRING ST
RACINE, WI 53405-1667
Phone number: 262-687-4479
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Mailing Address
-- MATTHEW T CZERNIAK PA-C
3805B SPRING ST SUITE #230
RACINE, WI 53405-1641
Phone number: 262-687-4479
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