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Individual

BORYS KUSYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1626 TUTTLE ST, BARABOO, WI 53913
(608) 355-6868
(608) 355-7001
Mailing address
1626 TUTTLE ST, BARABOO, WI 53913
(608) 355-6868
(608) 355-7001

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
549-025
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104883933
WI
Enumeration date
04/26/2006
Last updated
12/04/2020
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