Kurt Dekiep PA-C

NPI 1114058294 - Physician Assistant - 363A00000X

NPI Details
NPI 1114058294
Gender Male
Enumeration Date 03/08/2007
Last Updated 07/23/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
2251 N SHORE DR
RHINELANDER WI, 54501-6710, US
Phone (715) 361-2176
Fax
Business Location
2251 N SHORE DR
RHINELANDER WI, 54501-6710, US
Phone (715) 361-2176
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 2618-23
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According to our database, Mr. Kurt Dekiep PA-C NPI is 1114058294, taxonomy code is 363A00000X and license number is 2618-23, license state is located at Wisconsin. Kurt Dekiep PA-C physically located at 2251 N Shore Dr, Rhinelander WI, 54501-6710. NPI Number Kurt Dekiep PA-C has the Individual type.

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1114058294 NPI number is provided on an as is basis without warranty of any kind. 1114058294 is maintained by the National Plan & Provider Enumeration System. The contents of Kurt Dekiep PA-C are for informational purposes only.