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Individual

MR. DAVID KROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA.ED., ATC/L

Contact information

Practice address
BALKNAP & CATLIN AVES., SUPERIOR, WI 54880
(715) 394-8144
(715) 395-4643
Mailing address
1628 LAMBORN AVE, SUPERIOR, WI 54880-2824
(715) 919-1816
(715) 395-4636

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
486-39
WI

Other

Enumeration date
12/15/2014
Last updated
12/15/2014
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