MARK FREDERICK WOLLUM

MANITOWOC, WI
NPI1275745614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  3568-024)
Enumeration Date2007-05-06
Last Update Date2007-07-08
Business Address
-- MARK FREDERICK WOLLUM P.T.
1235 S 24TH ST
MANITOWOC, WI 54220-5516
Phone number: 920-682-8254
Mailing Address
-- MARK FREDERICK WOLLUM P.T.
108 SMITH DR
BEAVER DAM, WI 53916-2746
Phone number: 920-887-8748
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