Individual
DR. DAVID P PERRODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
450 WINNEBAGO AVE, PORTAGE, WI 53901-1230
(608) 617-4486
Mailing address
450 WINNEBAGO AVE, PORTAGE, WI 53901-1230
(608) 617-4486
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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