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1497779177
MICHAEL BODART
GREEN BAY, WI
NPI
1497779177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 2263)
Enumeration Date
2006-07-27
Last Update Date
2012-01-13
Business Address
-- MICHAEL BODART PT
2502 S. ASHLAND AVE.
GREEN BAY, WI 54304
Phone number: 920-496-4700
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Mailing Address
-- MICHAEL BODART PT
2502 S. ASHLAND AVE.
GREEN BAY, WI 54304
Phone number: 920-496-4700
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