EVERETT TYSDAHL

NEW RICHMOND, WI
NPI1700931235
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  1527-024)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
Mr. EVERETT TYSDAHL
535 HOSPITAL RD
NEW RICHMOND, WI 54017-1449
Phone number: 715-243-2755
Mailing Address
Mr. EVERETT TYSDAHL
1621 160TH AVE
NEW RICHMOND, WI 54017-6709
Phone number: