Individual
ANTHONY A KACZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
625 E SAINT PAUL AVE, MILWAUKEE, WI 53202-5907
(414) 223-2727
(414) 223-2724
Mailing address
625 E SAINT PAUL AVE, MILWAUKEE, WI 53202-5907
(414) 223-2727
(414) 223-2724
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
51-039
WI
Other
Enumeration date
08/19/2005
Last updated
09/26/2007
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