Individual
DUANE C OFTEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8365
(715) 236-8302
Mailing address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8365
(715) 236-8302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10591
MN
Other
Enumeration date
07/04/2009
Last updated
10/16/2020
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