MARK DODGE

PESHTIGO, WI
NPI1295183580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2053)
Enumeration Date2016-05-27
Last Update Date2016-05-27
Business Address
-- MARK DODGE
701 WILLOW ST
PESHTIGO, WI 54157-1165
Phone number: 715-582-0144
Mailing Address
-- MARK DODGE
N1945 SHORE DR
MARINETTE, WI 54143-9213
Phone number: 715-732-0148
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