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1588609481
LANE A WOLDUM
CHIPPEWA FALLS, WI
NPI
1588609481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 37299)
Enumeration Date
2006-06-17
Last Update Date
2009-07-15
Business Address
-- LANE A WOLDUM MD
611 1ST AVE
CHIPPEWA FALLS, WI 54729-1242
Phone number: 715-838-5222
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Mailing Address
-- LANE A WOLDUM MD
PO BOX 1510
EAU CLAIRE, WI 54702-1510
Phone number: 715-838-5222
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