AUSTIN RICHARD BOL

LA CROSSE, WI
NPI1841876844
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: WI  5869)
Enumeration Date2021-03-20
Last Update Date2022-09-14
Business Address
AUSTIN RICHARD BOL NRP
1900 SOUTH AVE
LA CROSSE, WI 54601-5467
Phone number: 608-782-7300
Mailing Address
AUSTIN RICHARD BOL NRP
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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