Individual
KELLY THERESIA DASSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4100 STATE HIGHWAY 66, STEVENS POINT, WI 54482-8410
(715) 997-6000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13193
WI
Other
Enumeration date
07/20/2022
Last updated
02/28/2024
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