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Individual
JAMES C NETTUM
Active
Individual
JAMES C NETTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29491-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1983
DEAN HEALTH INSURANCE
WI
05
—
31462600
—
WI
Enumeration date
05/17/2006
Last updated
09/19/2011
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