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Individual

DR. DUANE VANCE MYKLEJORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1000 N OAK AVE., MARSHFIELD, WI 54449
(800) 782-8581
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125075217
IL
207L00000X
Anesthesiology Physician
Primary
8126821
WI

Other

Enumeration date
03/22/2019
Last updated
10/24/2024
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