Individual
BRETT WILLIAM ELISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1504 MADISON AVE, FORT ATKINSON, WI 53538-3100
(920) 563-9357
Mailing address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13827-24
WI
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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