Individual
CHRISTOPHER DIMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 E LAYTON AVE, SAINT FRANCIS, WI 53235-6053
(608) 575-2799
Mailing address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2457-39
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2017
Last updated
09/22/2021
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