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Individual

TOMASZ GORAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9601 TOWNLINE RD, MINOCQUA, WI 54548
(715) 358-1164
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-4777

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30212
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31520000
WI
Enumeration date
09/20/2006
Last updated
07/08/2007
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