Individual
BARBARA J. TYSDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2321 STOUT RD, MENOMONIE, WI 54751-7003
(715) 235-5531
(715) 233-7645
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1083-023
WI
Other
Enumeration date
07/07/2006
Last updated
10/11/2019
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