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1114907011
JEFFREY LEE MINIKEL
SHAWANO, WI
NPI
1114907011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WI 21786)
Enumeration Date
2006-01-18
Last Update Date
2012-03-15
Business Address
-- JEFFREY LEE MINIKEL MD
100 COUNTY ROAD B
SHAWANO, WI 54166-7072
Phone number: 920-831-5050
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Mailing Address
-- JEFFREY LEE MINIKEL MD
PO BOX 8003
APPLETON, WI 54912-8003
Phone number: 920-996-3200
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