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Individual

GEORGE G. METROPULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-6543
Mailing address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-6543

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4024-24
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40215900
WI
Enumeration date
03/31/2008
Last updated
03/31/2008
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