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Dylan Grosskreutz
Student in an Organized Health Care Education/Training Program in La Crosse, Wisconsin
NPI 1457038010

Dylan Grosskreutz is a Student in an Organized Health Care Education/Training Program based in La Crosse, WI. Dylan Grosskreutz practices in La Crosse, WI. The NPI Number for Dylan Grosskreutz is 1457038010 and holds a License No. (Wisconsin).

The current practice location address for Dylan Grosskreutz is 1820 Pine St, La Crosse, WI and can be reached out via phone at 920-655-7345.

Location: 1820 Pine St, La Crosse, WI, 54601-3750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457038010
Provider Name
Dylan Grosskreutz
Credential
Provider Entity Type
Individual
Gender
Male
Address
1820 Pine St, La Crosse, WI, 54601-3750
Phone Number
920-655-7345
Fax Number
Provider Enumeration Date
07/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1820 Pine St
City
La Crosse
State
Wisconsin
Zip
54601-3750
Phone Number
920-655-7345
Fax Number
person
Provider Business Mailing Address Details
Address
1820 Pine St
City
La Crosse
State
Wisconsin
Zip
54601-3750
Phone Number
920-655-7345
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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