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1770959462
GERALD J. KALLAS
OCONOMOWOC, WI
NPI
1770959462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 14655-20)
Enumeration Date
2015-08-17
Last Update Date
2015-08-17
Business Address
-- GERALD J. KALLAS M.D.
1437 N SUMMIT AVE
OCONOMOWOC, WI 53066-9461
Phone number: 414-322-1434
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Mailing Address
-- GERALD J. KALLAS M.D.
1437 N SUMMIT AVE
OCONOMOWOC, WI 53066-9461
Phone number: 414-322-1434
Copy
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