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Individual

MARK JAMES DILLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APNP, CNP

Contact information

Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 392-7390
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14178
WI
363L00000X
Nurse Practitioner
223971-30
WI

Other

Enumeration date
05/11/2023
Last updated
10/30/2023
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