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MARJORIE C WANGMedical College of Wisconsin, Milwaukee

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The document is an application form for the Fellowship in Spinal Surgery at the Medical College of Wisconsin's Department of Neurosurgery. It requires personal information, educational background, medical education details, references, and certifications. Additionally, it includes questions regarding legal and disciplinary history, citizenship status, and a personal statement section for applicants to express their interest in the fellowship.

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