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Individual

GARY J OVASKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.O.

Contact information

Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
2475
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41783800
WI
Enumeration date
10/10/2006
Last updated
07/08/2007
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