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Individual
MR. WILLIAM ARISTIDES GEORGE IV
Active
Individual
MR. WILLIAM ARISTIDES GEORGE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
1308-39
WI
2255A2300X
Athletic Trainer
Primary
1308-39
WI
Other
Enumeration date
12/06/2018
Last updated
09/22/2021
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