Individual
MR. CONRAD CHRISTOPHER BOTZ II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST
Contact information
Practice address
1357 PHEASANT RUN, NEW RICHMOND, WI 54017-4501
(715) 379-3882
Mailing address
1357 PHEASANT RUN, NEW RICHMOND, WI 54017-4501
(715) 379-3882
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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