Individual
MR. MICHAEL ERIC GUZIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7540 22ND AVE, KENOSHA, WI 53143-5702
(262) 656-6940
Mailing address
7540 22ND AVE, KENOSHA, WI 53143-5702
(262) 656-6940
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1005-019
WI
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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