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Individual

MRS. HEIDI L DIX

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LAT

Contact information

Practice address
2050 4TH AVE, 040 HEC, STEVENS POINT, WI 54481-1910
(715) 346-4570
Mailing address
3310 RYANS WAY, WISCONSIN RAPIDS, WI 54494-9313
(715) 323-1576

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
431-039
WI

Other

Enumeration date
01/26/2006
Last updated
07/08/2007
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