Individual
EUGENE J CARLISLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 791-9876
(608) 791-3955
Mailing address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 791-9876
(608) 791-3955
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18788
WI
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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