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1912136581
DUANE C OFTEDAHL
RICE LAKE, WI
NPI
1912136581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 10591)
Enumeration Date
2009-07-04
Last Update Date
2020-10-16
Business Address
DUANE C OFTEDAHL PA-C
1700 W STOUT ST
RICE LAKE, WI 54868-5000
Phone number: 715-236-8365
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Mailing Address
DUANE C OFTEDAHL PA-C
1700 W STOUT ST
RICE LAKE, WI 54868-5000
Phone number: 715-236-8365
Copy
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