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1174518724
MARK GLEN BAKALARS
WAUKESHA, WI
NPI
1174518724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: WI 40309-020)
Enumeration Date
2005-09-20
Last Update Date
2007-07-08
Business Address
Dr. MARK GLEN BAKALARS M.D.
725 AMERICAN AVE
WAUKESHA, WI 53188-5031
Phone number: 262-928-2400
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Mailing Address
Dr. MARK GLEN BAKALARS M.D.
725 AMERICAN AVE
WAUKESHA, WI 53188-5031
Phone number: 262-928-2400
Copy
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