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Individual

JOHN HERLACHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1843 MICHIGAN ST, STURGEON BAY, WI 54235-1007
(920) 746-1060
(920) 746-1072
Mailing address
1843 MICHIGAN ST, STURGEON BAY, WI 54235-1007
(920) 746-1060
(920) 746-1072

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16753
WI

Other

Enumeration date
05/21/2008
Last updated
05/21/2008
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