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Individual

MICHAEL CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
8645 RIVENDELL LN, FRANKSVILLE, WI 53126-9324
(262) 633-1226
Mailing address
8645 RIVENDELL LN, FRANKSVILLE, WI 53126-9324

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
83-039
WI

Other

Enumeration date
03/19/2014
Last updated
03/19/2014
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