Individual
MR. BRIAN JOSEPH MEITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
200 E TYRANENA PARK RD, LAKE MILLS, WI 53551-9678
(920) 648-8170
(920) 648-8225
Mailing address
W9561 GRACE LN, CAMBRIDGE, WI 53523-9753
(608) 423-4011
(608) 423-3889
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
65-039
WI
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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