Individual
JOSHUA DREW ICE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
401 W MOHAWK DR, TOMAHAWK, WI 54487-2218
(715) 453-7725
(715) 453-7717
Mailing address
401 W MOHAWK DR, TOMAHAWK, WI 54487-2218
(715) 453-7725
(715) 453-7717
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
457-039
WI
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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