Individual
CHRISTOPHER PEROUTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1440 MONROE ST, MADISON, WI 53711-2051
(608) 262-1866
Mailing address
5316 HERON TRL, MIDDLETON, WI 53562-5215
(608) 445-3413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2536-39
WI
Other
Enumeration date
03/28/2018
Last updated
08/24/2022
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