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1770857229
TODD L MCNIESH
APPLETON, WI
NPI
1770857229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 5007)
Enumeration Date
2012-03-01
Last Update Date
2020-06-18
Business Address
TODD L MCNIESH MPAS, PA-C
2500 E CAPITOL DR STE 1200
APPLETON, WI 54911-8735
Phone number: 920-830-6877
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Mailing Address
TODD L MCNIESH MPAS, PA-C
3 NEENAH CTR
NEENAH, WI 54956-3070
Phone number: 920-454-4101
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