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Individual

DR. ANTHONY DANIEL VILLARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 785-0940
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-3635

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
53465
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
53465
WI

Other

Enumeration date
06/27/2005
Last updated
05/24/2019
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