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1659397891
WARD DIETER
MADISON, WI
NPI
1659397891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 00224)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
-- WARD DIETER PA
8202 EXCELSIOR DR
MADISON, WI 53717-1906
Phone number: 608-883-1176
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Mailing Address
-- WARD DIETER PA
1265 JOHN Q HAMMONS DR
MADISON, WI 53717-1941
Phone number: 608-251-4156
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