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Individual
WENDY J DIXEN-DADEZ
Active
Individual
WENDY J DIXEN-DADEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3795
WI
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41810700
—
WI
01
—
43G23DA
BLUE CROSS BLUE SHIELD
MN
01
—
6401770
MEDICA
MN
01
—
HP46028
HEALTH PARTNERS
MN
Enumeration date
09/26/2006
Last updated
06/26/2013
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