Individual
DANIELLE DUTKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFSA
Contact information
Practice address
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158-1227
(262) 857-5400
Mailing address
573 SOUTHWIND DR UNIT 101, LAKE GENEVA, WI 53147-4779
(224) 230-0332
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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