MARK ERVIN MITTAG

EAU CLAIRE, WI
NPI1396064911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2010-05-21
Last Update Date2010-05-21
Business Address
MR. MARK ERVIN MITTAG MS
2925 MONDOVI RD
EAU CLAIRE, WI 54701-6141
Phone number: 715-832-0238
Mailing Address
MR. MARK ERVIN MITTAG MS
2925 MONDOVI RD
EAU CLAIRE, WI 54701-6141
Phone number: 715-832-0238
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