Lawrence Wesley Waite D.O.

NPI 1083663967 - Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X

NPI Details
NPI 1083663967
Gender Male
Enumeration Date 05/09/2006
Last Updated 05/18/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2110 EVENSON DR
ONALASKA WI, 54650-8772, US
Phone (608) 397-6678
Fax (608) 781-5576
Business Location
2110 EVENSON DR
ONALASKA WI, 54650-8772, US
Phone (608) 397-6678
Fax (608) 781-5576
Toxanomy
Taxonomy Code 204C00000X
License State Minnesota
License Number 40617
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According to our database, Lawrence Wesley Waite D.O. NPI is 1083663967, taxonomy code is 204C00000X and license number is 40617, license state is located at Minnesota. Lawrence Wesley Waite D.O. physically located at 2110 Evenson Dr, Onalaska WI, 54650-8772. NPI Number Lawrence Wesley Waite D.O. has the Individual type.

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1083663967 NPI number is provided on an as is basis without warranty of any kind. 1083663967 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence Wesley Waite D.O. are for informational purposes only.