Individual
BRANDON YACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3898 SUMMERSET WAY, OSHKOSH, WI 54901-1272
(920) 376-3649
Mailing address
3898 SUMMERSET WAY, OSHKOSH, WI 54901-1272
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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