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Individual

KYLE TRAUTSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2815 LAKESHORE DR APT 1, LA CROSSE, WI 54603-6006
(608) 797-3008
Mailing address
2815 LAKESHORE DR APT 1, LA CROSSE, WI 54603-6006
(608) 797-3008

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
201458
MN
172V00000X
Community Health Worker
Primary
4596-027
WI

Other

Enumeration date
10/07/2008
Last updated
11/25/2011
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