Individual
DUSTIN BILLUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3111 GUNDERSEN DR, ONALASKA, WI 54650-8447
(608) 775-8100
Mailing address
401 GILLETTE ST APT 201, LA CROSSE, WI 54603-4211
(712) 490-6798
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1739-39
WI
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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