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Individual

MARC K WRUBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1250 E BUSINESS 151, SUITE D, PLATTEVILLE, WI 53818
(608) 348-4060
(608) 348-4191
Mailing address
1250 E BUSINESS 151, SUITE D, PLATTEVILLE, WI 53818
(608) 348-4060
(608) 348-4191

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1833
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39659900
WI
Enumeration date
08/01/2006
Last updated
07/08/2007
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