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1578790358
KRAIG SQUIRES
MADISON, WI
NPI
1578790358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2438-23)
Enumeration Date
2009-06-18
Last Update Date
2009-06-18
Business Address
-- KRAIG SQUIRES PA-C
202 S PARK ST
MADISON, WI 53715-1507
Phone number: 608-417-6206
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Mailing Address
-- KRAIG SQUIRES PA-C
202 S PARK ST
MADISON, WI 53715-1507
Phone number: 608-417-6206
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