DANIEL THOMAS LINE

WAUSAU, WI
NPI1649574898
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WI  2704-023)
Enumeration Date2011-01-03
Last Update Date2011-01-03
Business Address
Mr. DANIEL THOMAS LINE P.A.-C
333 PINE RIDGE BLVD
WAUSAU, WI 54401-4120
Phone number: 715-847-2121
Mailing Address
Mr. DANIEL THOMAS LINE P.A.-C
333 PINE RIDGE BLVD
WAUSAU, WI 54401-4120
Phone number: 715-847-2121
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