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Allocation to:

Frau Dr. I. Engel-Bicik; Herr Dr. R. Schneiter; Frau Dr. A. Babians-Brunner

Desired examination*
Clinical data*
Preliminary findings
Comments
Payer*

Appointment allocation*

Desired documentation

Please provide the exact name of the institute or clinic.

Please provide the telephone number of your attending physician or practice.

Please provide a valid e-mail address or fax number of your treating physician or practice.

Please provide a valid fax number or e-mail address.