GEORGE T POULLETTE

PLEASANT PRAIRIE, WI
NPI1104933415
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  30486)
Enumeration Date2006-08-23
Last Update Date2023-03-07
Business Address
Dr. GEORGE T POULLETTE MD
10256 OLD GREEN BAY ROAD
PLEASANT PRAIRIE, WI 53158-2815
Phone number: 262-551-4200
Mailing Address
Dr. GEORGE T POULLETTE MD
6308 8TH AVE
KENOSHA, WI 53143-5031
Phone number: 262-577-8320
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