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Thomas Dettlaff
NPI 1912375411 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1886 Little Valley Ct
De Pere, WI 54115 - Phone
- (920) 606-3489
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Sex
- Male
- Record last updated
- 2015-09-14
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