Individual
DYLAN WITTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
515 22ND AVE, SPORTS MEDICINE, MONROE, WI 53566-1569
(608) 325-7529
Mailing address
515 22ND AVE, SPORTS MEDICINE, MONROE, WI 53566
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1710-39
WI
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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