Individual
MS. MARY ELIZABETH HILTUNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-6089
(920) 430-4750
(920) 430-4746
Mailing address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-6089
(920) 430-4750
(920) 430-4746
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
414-039
WI
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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