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Organization

BREAST CENTER OF CENTRAL WISCONSIN, S.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAMELA GAIL GALLOWAY M.D. (OFFICER)
(715) 675-1177
Entity
Organization

Contact information

Practice address
1506 PINE VIEW LN, WAUSAU, WI 54403-2361
(715) 675-1177
Mailing address
1506 PINE VIEW LN, WAUSAU, WI 54403-2361

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45139
WI

Other

Enumeration date
08/07/2007
Last updated
08/07/2011
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