Individual
BRANDON DILLENBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8573
(920) 926-8923
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8573
(920) 926-8923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14338-33
WI
Other
Enumeration date
08/22/2016
Last updated
08/03/2023
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