Individual
DANE PERLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 W BROWN ST, WAUPUN, WI 53963-1702
(920) 324-5581
Mailing address
620 W BROWN ST, WAUPUN, WI 53963-1702
(920) 324-5581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13397-24
WI
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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