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Individual

JOSEPH MCCAUSLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2331
Mailing address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2331

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37627
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30069100
WI
Enumeration date
12/20/2006
Last updated
02/28/2008
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