Individual
DR. DAVID K DE DIANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(414) 955-7199
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34618-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004006261Q
HUMANA
—
05
—
1386695815
—
WI
Enumeration date
05/12/2006
Last updated
01/14/2025
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