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1194890178
LUCAS W DIERINGER
MILWAUKEE, WI
NPI
1194890178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 10418-024)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
-- LUCAS W DIERINGER MPT
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1066
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Mailing Address
-- LUCAS W DIERINGER MPT
845 CARDINAL DR
CEDARBURG, WI 53012-9404
Phone number: 414-291-1066
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