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1922090141
JOHN P REVORD
APPLETON, WI
NPI
1922090141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WI 32952)
Enumeration Date
2005-08-16
Last Update Date
2013-02-11
Business Address
-- JOHN P REVORD MD
5320 MICHAELS DR
APPLETON, WI 54913-8446
Phone number: 920-882-8200
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Mailing Address
-- JOHN P REVORD MD
5320 MICHAELS DR
APPLETON, WI 54913-8446
Phone number: 920-882-8200
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