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1487059481
MARK DAWYDOWYCZ
WEST ALLIS, WI
NPI
1487059481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3447-23)
Enumeration Date
2014-11-03
Last Update Date
2021-11-30
Business Address
MARK DAWYDOWYCZ PA
2515 S 88TH ST
WEST ALLIS, WI 53227-2723
Phone number: 414-630-3499
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Mailing Address
MARK DAWYDOWYCZ PA
2515 S. 88TH ST
WEST ALLIS, WI 53227
Phone number: 414-630-3499
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