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Individual

RICHARD ALFRED HUSET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2158 295TH AVE, LUCK, WI 54853-3419
(715) 648-5620
Mailing address
2158 COUNTY RD B, LUCK, WI 54853
(715) 648-5620

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32109
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31727200
WI
Enumeration date
12/05/2006
Last updated
07/08/2007
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