Individual
TODD JOSEPH DUELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 24TH ST S, WISCONSIN RAPIDS, WI 54494-1906
(715) 424-1881
(715) 423-1602
Mailing address
PO BOX 8005, WISCONSIN RAPIDS, WI 54495-8005
(715) 424-1881
(715) 423-1602
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125-042504
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34866900
—
WI
01
—
P00346189
MEDICARE RAILROAD
WI
Enumeration date
06/10/2006
Last updated
03/24/2009
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