Wisconsin
Wood
Wisconsin Rapids
Surgery: General
canceled
G76964
male
1987
medical activities:
no activities identified
license issued on June 28, 1993;
Surgeon (General)
Specialist for: General Surgery
University of Wisconsin Medical School (graduated in 1987)
Graduated in year 1987, Medical School: University of Wi Medicine School, Madison, WI 53706
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Profile ID: FRUS-MDS-P-78255