Individual
MICHAEL BRIAN DEWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2915 N MEADE ST, APPLETON, WI 54911-1509
(920) 993-6837
Mailing address
2915 N MEADE ST, APPLETON, WI 54911-1509
(920) 993-6837
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1536-019
WI
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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