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Individual
MR. MICHAEL POND
Active
Individual
MR. MICHAEL POND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC, ICS
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1674
WI
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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