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1669443610
MARK W BERTAGNOLI
GREEN BAY, WI
NPI
1669443610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: WI 40649-020)
Enumeration Date
2006-01-29
Last Update Date
2007-07-08
Business Address
-- MARK W BERTAGNOLI M.D.
835 S VAN BUREN ST
GREEN BAY, WI 54301-3526
Phone number: 920-433-8360
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Mailing Address
-- MARK W BERTAGNOLI M.D.
PO BOX 1446
GREEN BAY, WI 54305-1446
Phone number: 920-983-9401
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