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Individual

BRADLEY JOE PHELPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSA

Contact information

Practice address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(715) 717-6600
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
246ZS0410X
Surgical Technologist

Other

Enumeration date
12/20/2017
Last updated
12/20/2017
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