Individual
BRYANT LEE PHILLIP VANROSSEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 MAIN ST, STEVENS POINT, WI 54481-3871
(715) 346-2922
Mailing address
1695 WILLOW SPRINGS DR, STEVENS POINT, WI 54482-8717
(715) 340-1367
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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