MARK EDWIN EDSTROM

EAU CLAIRE, WI
NPI1518937382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WI  25244)
Enumeration Date2006-01-25
Last Update Date2009-04-07
Business Address
-- MARK EDWIN EDSTROM MD
1400 BELLINGER ST
EAU CLAIRE, WI 54703-5222
Phone number: 715-838-5222
Mailing Address
-- MARK EDWIN EDSTROM MD
PO BOX 1510
EAU CLAIRE, WI 54702-1510
Phone number: 715-838-5222
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