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Individual

MIHAILO LALICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3802 OAKWOOD MALL DR, EAU CLAIRE, WI 54701-3016
(715) 839-9280
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
(715) 552-6589
(715) 835-6370

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
46134
WI
207RX0202X
Medical Oncology Physician
49785
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34920900
WI
05
540047000
MN
Enumeration date
05/09/2006
Last updated
03/21/2025
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