Individual
ALEXANDER POKORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 LARKSPUR LN, WEST BEND, WI 53090-1037
(262) 689-6150
Mailing address
1615 LARKSPUR LN, WEST BEND, WI 53090-1037
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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