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Individual

MR. IRWIN MARGOLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2635 WEST LAKE PARK COURT, MEQUON, WI 53092-2453
(262) 643-4097
Mailing address
2635 WEST LAKE PARK COURT, MEQUON, WI 53092-2453
(262) 643-4097

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17519
WI
207RX0202X
Medical Oncology Physician
17519
WI

Other

Enumeration date
09/07/2012
Last updated
09/07/2012
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