Individual
DYLAN G WASHKUHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 325-5244
(414) 421-3772
Mailing address
417 GANNON CT, TOMAH, WI 54660-6586
(210) 860-8343
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14053
WI
363L00000X
Nurse Practitioner
253785
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244322
—
WI
Enumeration date
06/08/2023
Last updated
04/06/2026
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