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Individual

KARL E DADEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3884
WI
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41810700
WI
01
43G21DA
BLUE CROSS BLUE SHIELD
MN
01
6401771
MEDICA
MN
01
HP46025
HEALTH PARTNERS
MN
Enumeration date
09/26/2006
Last updated
06/26/2013
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