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1811984305
TIMOTHY DEAN BJELLAND
MAUSTON, WI
NPI
1811984305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 31519)
Enumeration Date
2005-09-30
Last Update Date
2007-07-08
Business Address
-- TIMOTHY DEAN BJELLAND D.O.
1040 DIVISION ST
MAUSTON, WI 53948-1931
Phone number: 608-847-5000
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Mailing Address
-- TIMOTHY DEAN BJELLAND D.O.
1040 DIVISION ST
MAUSTON, WI 53948-1931
Phone number:
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