Individual
SADIE BUBOLTZ-DUBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAT, LAT, ATC
Contact information
Practice address
2420 NICOLET DR, GREEN BAY, WI 54311-7003
(920) 377-1544
Mailing address
1348 GEORGE ST, DE PERE, WI 54115-3527
(920) 377-1544
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1482-39
WI
Other
Enumeration date
01/16/2017
Last updated
04/30/2020
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