MICHAEL R DEPEW

MANITOWOC, WI
NPI1619032919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: WI  1419)
Enumeration Date2006-12-27
Last Update Date2007-09-24
Business Address
-- MICHAEL R DEPEW pa
1650 S. 41ST ST. LAKESHORE ORTHOPEDICS
MANITOWOC, WI 54220
Phone number: 920-682-5233
Mailing Address
-- MICHAEL R DEPEW pa
1650 S. 41ST ST. LAKESHORE ORTHOPEDICS
MANITOWOC, WI 54220
Phone number: 920-682-5233
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