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Individual

DYLAN JAMES MICHAEL HAMILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
1545 ARBORETUM DR APT 104, OSHKOSH, WI 54901-2794
(920) 450-6415
Mailing address
1545 ARBORETUM DR APT 104, OSHKOSH, WI 54901-2794
(920) 450-6415

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
242220
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
242220-30
WI

Other

Enumeration date
10/20/2023
Last updated
07/15/2024
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