Individual
JACOB D DOTSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
446 PINE ST, GLENWOOD CITY, WI 54013-8537
(715) 461-0406
Mailing address
446 PINE ST, GLENWOOD CITY, WI 54013-8537
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
06/17/2019
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