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Individual

DR. DAVID MEGREMIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
02001737A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
62601
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200121381
IN
Enumeration date
08/12/2005
Last updated
08/08/2014
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