Individual
KRISTOPHER KARL HARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 N EAST AVE, WAUKESHA, WI 53186-3103
(262) 524-7701
Mailing address
2218 S MOUND ST, MILWAUKEE, WI 53207-1334
(414) 483-0588
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
175-039
WI
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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