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Individual

DR. SAINT VICTOR ONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
9008 W BURLEIGH ST, MILWAUKEE, WI 53222-3632
(262) 724-6867
Mailing address
1345 N JEFFERSON ST # 134, MILWAUKEE, WI 53202-2644
(262) 724-6867

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
59931-20
WI

Other

Enumeration date
07/09/2011
Last updated
02/24/2020
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