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Individual

PHILIP J. MOFLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
46059
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34792500
WI
Enumeration date
06/20/2007
Last updated
11/17/2010
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