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1700101250
ADAM LAWRENCE LISS
GREEN BAY, WI
NPI
1700101250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: WI 64108)
Enumeration Date
2010-03-27
Last Update Date
2023-03-31
Business Address
Dr. ADAM LAWRENCE LISS MD
1580 COMMANCHE AVE
GREEN BAY, WI 54313-5751
Phone number: 920-435-8326
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Mailing Address
Dr. ADAM LAWRENCE LISS MD
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8340
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