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1376062661
PHILLIP MICHAEL BIRDSALL
GREEN BAY, WI
NPI
1376062661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 14009-24)
Enumeration Date
2017-09-18
Last Update Date
2024-01-22
Business Address
PHILLIP MICHAEL BIRDSALL D-PT
704 S WEBSTER AVE STE 201
GREEN BAY, WI 54301-3528
Phone number: 920-433-3410
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Mailing Address
PHILLIP MICHAEL BIRDSALL D-PT
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7210
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