Individual
ALBOURY SOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-6291
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
58686
MN
207P00000X
Emergency Medicine Physician
Primary
68062
WI
207Q00000X
Family Medicine Physician
58686
MN
207Q00000X
Family Medicine Physician
68062
WI
Other
Enumeration date
08/03/2011
Last updated
03/14/2024
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