Search › Wisconsin › 2255A2300X
Dalton Venden
NPI 1609261841 · on the registry since 2015 · sole proprietor
Practice
- Address
- 448 W Madison St
Waterloo, WI 53594 - Phone
- (920) 988-8312
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-04
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