Individual
BRIAN JP MCWILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, CSCS, CEAS
Contact information
Practice address
1002 GEORGE ST, DE PERE, WI 54115-2952
(920) 360-4890
Mailing address
173 SULLIVAN LN, DE PERE, WI 54115-3771
(920) 360-4890
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
18-039
WI
Other
Enumeration date
01/10/2007
Last updated
01/09/2015
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