Individual
FRANCIS JASON DIZON MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
702 W DOLF ST, COLBY, WI 54421-9604
(715) 223-2352
Mailing address
311 W KALSCHED ST, APT 115, MARSHFIELD, WI 54449-1466
(310) 526-1704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10722024
WI
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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