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1124352604
MOLLIE J BERG
WAUSAU, WI
NPI
1124352604
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Former Name
MOLLIE J BAESEMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 2496023)
Enumeration Date
2009-09-30
Last Update Date
2022-12-22
Business Address
MOLLIE J BERG PA-C
512 S 28TH AVE
WAUSAU, WI 54401-4147
Phone number: 715-847-2021
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Mailing Address
MOLLIE J BERG PA-C
512 S 28TH AVE
WAUSAU, WI 54401-4147
Phone number: 715-847-2021
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