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1164570644
MARK A GENNIS
MILWAUKEE, WI
NPI
1164570644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 26971-020)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- MARK A GENNIS MD
1020 N 12TH ST 2ND FLOOR
MILWAUKEE, WI 53233-1308
Phone number: 414-219-7724
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Mailing Address
-- MARK A GENNIS MD
10133 N SHERIDAN DR
MEQUON, WI 53092-6119
Phone number: 414-241-8652
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