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John Dykstra, H.I.S
NPI 1417329772 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3333 S Sunnyslope Rd
Suite 102
New Berlin, WI 53151 - Phone
- (262) 784-0236
- Fax
- (262) 784-0237
- Organisation at this address
- Willow Dental Group Llc
Fastback Physical Therapy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin