Organization
JUSTIN C BRONDSTAD AT YOUR SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN C BRONDSTAD (OWNER/OPERATOR)
(608) 451-1708
Entity
Organization
Contact information
Practice address
1215 W CRAMER ST, FORT ATKINSON, WI 53538-1001
(608) 451-1708
Mailing address
1215 W CRAMER ST, FORT ATKINSON, WI 53538-1001
(608) 451-1708
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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