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Individual

NORMAN F DEFFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
425 PINE RIDGE BLVD, SUITE 305A, WAUSAU, WI 54401-4123
(715) 847-2626
Mailing address
PO BOX 1008, WAUSAU, WI 54402-1008
(715) 847-2304

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
16759
WI

Other

Enumeration date
03/23/2010
Last updated
03/23/2010
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