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1861475592
THOMAS J FABRICIUS
FOND DU LAC, WI
NPI
1861475592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 45809)
Enumeration Date
2005-11-28
Last Update Date
2020-11-10
Business Address
THOMAS J FABRICIUS MD
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8200
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Mailing Address
THOMAS J FABRICIUS MD
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8340
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