Individual
STANLEY DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 374-5931
Mailing address
1309 BUTTS AVE APT 4, TOMAH, WI 54660-2438
(608) 642-2729
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302260
WI
Other
Enumeration date
02/28/2022
Last updated
04/07/2022
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