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1366497851
MARK PUSHKASH
MILWAUKEE, WI
NPI
1366497851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 908)
Enumeration Date
2006-05-23
Last Update Date
2007-07-08
Business Address
Dr. MARK PUSHKASH Ph.D.
1545 S LAYTON BLVD SUITE 307
MILWAUKEE, WI 53215-1924
Phone number: 414-217-2858
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Mailing Address
Dr. MARK PUSHKASH Ph.D.
4440 N MARYLAND AVE
SHOREWOOD, WI 53211-1651
Phone number: 414-217-2858
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