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Individual

DR. RUTH FARRALES LINDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC., MUKWONAGO, WI 53149-8475
(262) 928-1900
(262) 363-1949
Mailing address
240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC., MUKWONAGO, WI 53149-8475
(262) 928-1900
(262) 363-1949

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41108
TN
207Q00000X
Family Medicine Physician
Primary
47326
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3826597
TN
Enumeration date
08/03/2006
Last updated
04/09/2013
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