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Individual

MICHAEL A PUGLISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
225 MEMORIAL DR STE 1100, BERLIN, WI 54923-1243
(920) 361-5535
(920) 361-6337
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5910

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3428-23
WI

Other

Enumeration date
07/08/2013
Last updated
11/22/2017
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