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1407849060
WALTER KURT BIRKENHAGEN
POCATELLO, ID
NPI
1407849060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID M3705)
Enumeration Date
2005-08-29
Last Update Date
2013-03-04
Business Address
Dr. WALTER KURT BIRKENHAGEN M.D.
500 S 11TH AVE
POCATELLO, ID 83201-4835
Phone number: 208-232-7434
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Mailing Address
Dr. WALTER KURT BIRKENHAGEN M.D.
500 S 11TH AVE
POCATELLO, ID 83201-4835
Phone number: 208-232-7434
Copy
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