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Individual

MR. WILLIAM M ICARD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1679 COUNTY ROAD H, DEER PARK, WI 54007-7102
(715) 607-0392
Mailing address
PO BOX 34, DEER PARK, WI 54007-0034
(715) 607-0392

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
70104929
WI

Other

Enumeration date
07/29/2020
Last updated
07/29/2020
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