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Individual

JOSHUA J DAHLKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T., DPT

Contact information

Practice address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-8833
Mailing address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-8833

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10880-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36141600
WI
Enumeration date
08/28/2007
Last updated
01/28/2014
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