Individual
JOHN R. DIVELBISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.I.S.
Contact information
Practice address
3610 OAKWOOD MALL DR, STE. 202, EAU CLAIRE, WI 54701-3858
(715) 514-4380
Mailing address
3610 OAKWOOD MALL DR, STE. 202, EAU CLAIRE, WI 54701-3858
(715) 514-4380
(715) 514-5138
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1338-060
WI
Other
Enumeration date
05/14/2010
Last updated
01/24/2017
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