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1811915358
DOMINGO T HONG
GRAFTON, WI
NPI
1811915358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 18307)
Enumeration Date
2006-07-17
Last Update Date
2011-05-25
Business Address
-- DOMINGO T HONG MD
1990 WISCONSIN AVE
GRAFTON, WI 53024-2601
Phone number: 262-375-2305
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Mailing Address
-- DOMINGO T HONG MD
4425 N PORT WASHINGTON RD ATTN: CSMCP CLINIC CREDENTIALING
GLENDALE, WI 53212-1082
Phone number: 262-375-2305
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