Individual
DAVID R MACMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1533
Mailing address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1977
WI
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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