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Individual
MR. RAYMOND GEORGE HERSCHLEB
Active
Individual
MR. RAYMOND GEORGE HERSCHLEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40306800
—
WI
Enumeration date
11/18/2005
Last updated
08/30/2012
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