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Individual

MR. JONN B. DINNIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
423
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42919800
WI
05
880401000
MN
Enumeration date
06/16/2005
Last updated
01/14/2021
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