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1912403072
THEODORE MAILLETTE
EAU CLAIRE, WI
NPI
1912403072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 71402)
Enumeration Date
2018-04-05
Last Update Date
2021-06-30
Business Address
THEODORE MAILLETTE MD
1400 BELLINGER ST
EAU CLAIRE, WI 54703-5222
Phone number: 715-838-5222
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Mailing Address
THEODORE MAILLETTE MD
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 715-838-5222
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