Individual
JOHN W DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
H.I.S.
Contact information
Practice address
3333 S SUNNYSLOPE RD, SUITE 102, NEW BERLIN, WI 53151-4502
(262) 784-0236
(262) 784-0237
Mailing address
5200 WASHINGTON AVE, SUITE 102, RACINE, WI 53406-4238
(262) 637-5668
(262) 637-5009
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1287
WI
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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