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1942246509
MITCHELL L. ILLICHMANN
MADISON, WI
NPI
1942246509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI 50988)
Enumeration Date
2006-06-21
Last Update Date
2011-03-31
Business Address
-- MITCHELL L. ILLICHMANN M.D.
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-265-8130
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Mailing Address
-- MITCHELL L. ILLICHMANN M.D.
7974 UW HEALTH COURT
MIDDLETON, WI 53562-5531
Phone number:
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