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NPI Code Detail

MEDICARE: AMELIA ROSE DANNENMUELLER ATC

MEDICARE: AMELIA ROSE DANNENMUELLER ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer108908IA

General Provider Information

NPI Number : 1508433038
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA ROSE DANNENMUELLER ATC
Provider Business Mailing Address
First Line : 2394 81ST AVE
Second Line :
City : OSCEOLA
State : WI
Zip : 54020-4348
Country : US
Telephone Number : 715-222-1648
Fax Number :
Provider Business Practice Location Address
First Line : 2000 UNIVERSITY AVE
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-5099
Country : US
Telephone Number : 715-222-1648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2021
Last Update Date : 06/04/2021

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Directions to “ AMELIA ROSE DANNENMUELLER ATC” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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