Individual provider · Type 1 NPI

Dylan Demedeiros

Student in an Organized Health Care Education/Training Program · La Crosse, WI

NPI number 1497487904 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Call (608) 782-7300 Map

Other practice locations

  • 2124 Cornell Rd, Cleveland, OH 44106 · (216) 368-3200

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497487904

Dylan Demedeiros's National Provider Identifier is 1497487904, issued on Jun 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Crosse, WI. The record was last updated on Jun 1, 2023.