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1174550628
MICHAEL STATZ
RAPID CITY, SD
NPI
1174550628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: SD 2772)
Enumeration Date
2006-06-27
Last Update Date
2007-11-05
Business Address
-- MICHAEL STATZ
2820 MOUNT RUSHMORE RD
RAPID CITY, SD 57701-5462
Phone number: 605-342-3280
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Mailing Address
-- MICHAEL STATZ
2820 MOUNT RUSHMORE RD
RAPID CITY, SD 57701-5462
Phone number:
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