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Individual

DR. GARY EDWARD CHIZEVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2251 N SHORE DR STE 200, RHINELANDER, WI 54501-6712
(715) 361-4700
Mailing address
2251 N SHORE DR STE 100, RHINELANDER, WI 54501-6710
(715) 361-4700

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35081883
OH
208600000X
Surgery Physician
Primary
57302-20
WI

Other

Enumeration date
07/17/2006
Last updated
11/15/2012
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