WARD DIETER

MADISON, WI
NPI1659397891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  00224)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
-- WARD DIETER PA
8202 EXCELSIOR DR
MADISON, WI 53717-1906
Phone number: 608-883-1176
Mailing Address
-- WARD DIETER PA
1265 JOHN Q HAMMONS DR
MADISON, WI 53717-1941
Phone number: 608-251-4156
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