Individual
MR. MICHAEL E ONSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1020 HILL ST, WATERTOWN, WI 53098-3016
(920) 261-0400
Mailing address
1013 MOUND ST, APT 307, MADISON, WI 53715-1531
(608) 852-3541
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2257-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629071121
—
WI
Enumeration date
05/27/2015
Last updated
05/27/2015
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