T.d.c.

NPI #1629269899 in Wausau, Wisconsin

Provider Information

NPI Number
1629269899
Entity Type
Organization
Organization Name
T.d.c.
Primary Specialty
Physiological Laboratory
Enumeration Date
Aug 5, 2007
Last Updated
Aug 5, 2007

Practice Location

Address
3000 EMERY DR
City
Wausau
ZIP Code
54401-9710
Phone
(715) 675-6771

Authorized Official

Name
DR. JENNIFER BLAHNIK, O.M.D.
Title
SUPERVISOR
Phone
(715) 675-6771

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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