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1144282138
KIRK J HERZOG
EAU CLAIRE, WI
NPI
1144282138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 602)
Enumeration Date
2006-04-05
Last Update Date
2024-06-10
Business Address
KIRK J HERZOG PA
1400 BELLINGER ST
EAU CLAIRE, WI 54703-5222
Phone number: 715-838-5222
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Mailing Address
KIRK J HERZOG PA
PO BOX 1510
EAU CLAIRE, WI 54702-1510
Phone number: 715-838-5222
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