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Individual

LAURENCE J VERLINDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-4500
(920) 682-9378
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-4500
(920) 682-9378

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26067
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000158646 02
UNITED HEALTH
WI
01
080071913
MEDICARE RAILROAD
WI
01
26067
TOUCHPOINT
WI
05
30588300
WI
01
390806395
CHAMPUS
WI
01
39080639508
TRICARE
WI
01
9309
NETWORK HEALTH
WI
01
B57329
CIGNA
WI
Enumeration date
08/21/2006
Last updated
05/29/2008
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