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Individual

ADALINE MAE DEKRAAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AUD, CCC-A

Contact information

Practice address
106 FRANCES LN STE F, BEAVER DAM, WI 53916-1167
(920) 887-0509
Mailing address
1430 SYLVAN ST UNIT 118, OCONOMOWOC, WI 53066-0015
(920) 234-8542

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1140156
WI

Other

Enumeration date
07/07/2026
Last updated
07/07/2026
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