Thomas Dettlaff
NPI #1912375411 in De Pere, Wisconsin
Provider Information
- NPI Number
- 1912375411
- Entity Type
- Individual
- Name
- Thomas Dettlaff
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Sep 14, 2015
- Last Updated
- Sep 14, 2015
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Student in an Organized Health Care Education/Training Program |
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