Individual
DUSTIN ANDREW SVENDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1344 JEAN ST, UNION GROVE, WI 53182-1402
(262) 939-3443
(262) 878-5074
Mailing address
1014 VINE ST, UNION GROVE, WI 53182-1330
(262) 939-3443
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
0016153
WI
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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