Individual
MR. KURT THOMAS DAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6510 W LAYTON AVE, GREENFIELD, WI 53220-4573
(920) 530-4718
Mailing address
6510 W LAYTON AVE, GREENFIELD, WI 53220-4573
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17422-130
WI
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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