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1396032405
SAINT VICTOR ONE
MILWAUKEE, WI
NPI
1396032405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: WI 59931-20)
Enumeration Date
2011-07-09
Last Update Date
2020-02-24
Business Address
Dr. SAINT VICTOR ONE M.D
9008 W BURLEIGH ST
MILWAUKEE, WI 53222-3632
Phone number: 262-724-6867
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Mailing Address
Dr. SAINT VICTOR ONE M.D
1345 N JEFFERSON ST # 134
MILWAUKEE, WI 53202-2644
Phone number: 262-724-6867
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