Individual provider · Type 1 NPI

Daniel Thomas Line, P.A.-C

Medical Physician Assistant · Wausau, WI

NPI number 1649574898 Active

Practice location

333 Pine Ridge Blvd
Wausau, WI 54401-4120

Fax (715) 847-2078

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2704-023 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1649574898

Daniel Thomas Line, P.A.-C's National Provider Identifier is 1649574898, issued on Jan 3, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wausau, WI. The record was last updated on Jan 3, 2011.