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Individual

MEGAN WYNELL DETTLOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CA

Contact information

Practice address
942 WATER ST, SAUK CITY, WI 53583-1535
(608) 571-2942
Mailing address
9559 COUNTY ROAD Y, MAZOMANIE, WI 53560-9677
(608) 797-2638

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
723-55
WI

Other

Enumeration date
12/13/2012
Last updated
10/02/2024
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