Individual
DR. DENNIS CARROLL WILKINS FATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, PT, CERT MDT
Contact information
Practice address
1927 MISSISSIPPI ST, LA CROSSE, WI 54601-5076
(608) 782-5954
Mailing address
1927 MISSISSIPPI ST, LA CROSSE, WI 54601-5076
(608) 782-5954
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4189-024
WI
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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