WADE ALAN LILLEGARD

DULUTH, MN
NPI1497790547
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: MN  38439)
Enumeration Date2006-06-20
Last Update Date2011-05-09
Business Address
-- WADE ALAN LILLEGARD
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-8364
Mailing Address
-- WADE ALAN LILLEGARD
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-8364
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