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Individual

PATRICK L PIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8332
(920) 926-8370
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
56465
WI
207L00000X
Anesthesiology Physician
56465-20
WI

Other

Enumeration date
04/08/2010
Last updated
07/10/2014
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