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1689010118
NICHOLAS EDWARD COOROUGH
GREEN BAY, WI
NPI
1689010118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: WI 62822-20)
Enumeration Date
2013-05-10
Last Update Date
2020-12-28
Business Address
NICHOLAS EDWARD COOROUGH M.D.
720 S VANBUREN ST SUITE 201
GREEN BAY, WI 54301-3534
Phone number: 920-433-7488
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Mailing Address
NICHOLAS EDWARD COOROUGH M.D.
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7226
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