Dylan Grosskreutz
Dylan Grosskreutz is a Student in an Organized Health Care Education/Training Program in LA Crosse, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1820 Pine StLA Crosse, WI 54601-3750
Phone: (920) 655-7345
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1457038010 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 5, 2023 |
| Last updated in NPPES | July 5, 2023 |
| Certification date | July 3, 2023 |
| Mailing address | 1820 Pine St, La Crosse, WI 54601-3750 |
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