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1407822448
PETER B IDSVOOG
MADISON, WI
NPI
1407822448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 25300)
Enumeration Date
2006-02-28
Last Update Date
2019-07-23
Business Address
PETER B IDSVOOG MD
7102 MINERAL POINT RD
MADISON, WI 53717
Phone number: 608-828-7611
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Mailing Address
PETER B IDSVOOG MD
202 S PARK ST
MADISON, WI 53715-1507
Phone number: 608-417-3886
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