Individual
MR. DOIN WAYNE DAHLKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1031 FAYETTEVILLE RD, SUITE 202, VAN BUREN, AR 72956-3426
(479) 474-6099
(479) 474-6099
Mailing address
1031 FAYETTEVILLE RD, SUITE 202, VAN BUREN, AR 72956-3426
(479) 474-6099
(479) 474-6099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 119
AR
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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