Individual
JANAAN M. DUELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9382
MN
363A00000X
Physician Assistant
Primary
961
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226960100
—
MN
Enumeration date
02/17/2006
Last updated
02/19/2013
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