MR. Daniel Thomas Line, P.A.-C

NPI #1649574898 in Wausau, Wisconsin

Provider Information

NPI Number
1649574898
Entity Type
Individual
Name
MR. Daniel Thomas Line, P.A.-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A.-C
Enumeration Date
Jan 3, 2011
Last Updated
Jan 3, 2011

Practice Location

Address
333 PINE RIDGE BLVD
City
Wausau
ZIP Code
54401-4120
Phone
(715) 847-2121

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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