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1518990167
KIM J PANSEGRAU
MADISON, WI
NPI
1518990167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI 5144015)
Enumeration Date
2006-07-08
Last Update Date
2007-07-08
Business Address
Mr. KIM J PANSEGRAU DDS MD
7007 OLD SAUK RD
MADISON, WI 53717-2307
Phone number: 608-833-2060
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Mailing Address
Mr. KIM J PANSEGRAU DDS MD
3296 SARACEN WAY
VERONA, WI 53593-8010
Phone number: 608-821-0289
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