LOREN C FUGLESTAD

GREEN BAY, WI
NPI1669456463
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  35673)
Enumeration Date2005-12-05
Last Update Date2015-02-19
Business Address
-- LOREN C FUGLESTAD MD
2714 RIVERVIEW DR
GREEN BAY, WI 54313-6715
Phone number: 920-430-4760
Mailing Address
-- LOREN C FUGLESTAD MD
2714 RIVERVIEW DR
GREEN BAY, WI 54313-6715
Phone number: 920-430-4760
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