Individual
TROY A KASUBOSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, CCC-A
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8460
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002908
TOUCHPOINT
WI
01
—
12588
DEAN
WI
05
—
41124800
—
WI
Enumeration date
11/15/2005
Last updated
07/08/2007
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