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1730502048
MARK LAWRENCE WARREN
MADISON, WI
NPI
1730502048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WI 3279-23)
Enumeration Date
2014-01-23
Last Update Date
2015-04-29
Business Address
-- MARK LAWRENCE WARREN PA-C
1 S PARK ST 6TH FLOOR
MADISON, WI 53715-1375
Phone number: 608-287-2500
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Mailing Address
-- MARK LAWRENCE WARREN PA-C
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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