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1515 North Saint Joseph Avenue PO Box 8000 Marshfield WI 54449-8000 1. 800. 472. 2363 715. 221. 9555 TTY 1. L Yes l No R esults from an MRI CT scan or myelogram show herniation of a single lumbar disc that is consistent with the signs and symptoms of disc herniation without fragmentation or separation of the disc from the vertebrae. Mail or fax form to Security Health Plan Health Services Department Fax 715. 221. 6616 Marshfield Clinic providers route to Routing location SHP If you have any...
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