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1528129426
MARK J MIRICK
WAUSAU, WI
NPI
1528129426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WI 24727)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
-- MARK J MIRICK MD
333 PINE RIDGE BLVD
WAUSAU, WI 54401-4120
Phone number: 715-847-2121
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Mailing Address
-- MARK J MIRICK MD
PO BOX 1008
WAUSAU, WI 54402-1008
Phone number:
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