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1760580096
MARK LINDSTROM
MILWAUKEE, WI
NPI
1760580096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 33822)
Enumeration Date
2006-09-20
Last Update Date
2012-06-12
Business Address
-- MARK LINDSTROM DO
4848 S 6TH ST
MILWAUKEE, WI 53221-2462
Phone number: 414-769-2540
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Mailing Address
-- MARK LINDSTROM DO
4425 N PORT WASHINGTON RD ATTN: CLINIC CREDENTIALING
GLENDALE, WI 53212-1082
Phone number: 414-769-2540
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