E T AYALA

FOND DU LAC, WI
NPI1821089541
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WI  21604)
Enumeration Date2005-11-02
Last Update Date2007-07-08
Business Address
-- E T AYALA MD
92 E DIVISION ST
FOND DU LAC, WI 54935-4305
Phone number: 920-921-0560
Mailing Address
-- E T AYALA MD
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8340
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