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Individual

MR. MARK SHANNON MILNE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
105 N GENESEE ST, WITTENBERG, WI 54499
(715) 253-2939
(715) 253-2930
Mailing address
302 S 36TH AVE, WAUSAU, WI 54401
(715) 573-6122

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1038024
WI

Other

Enumeration date
03/09/2006
Last updated
07/08/2007
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