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Individual

DR. PATRICK THOMAS DUFFY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S,

Contact information

Practice address
10541 N RANCH RD, HAYWARD, WI 54843-6462
(715) 634-2011
(715) 634-1352
Mailing address
PO BOX 1220, HAYWARD, WI 54843-1220
(715) 634-2011
(715) 634-1352

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3762-015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33494400
WI
Enumeration date
08/26/2008
Last updated
08/26/2008
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