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Individual

MR. ADAM ALTENBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
104 FAKES CT, BEAVER DAM, WI 53916-2699
(920) 356-9818
Mailing address
104 FAKES CT, BEAVER DAM, WI 53916-2699
(920) 356-9818

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3012-19
WI

Other

Enumeration date
11/05/2020
Last updated
11/05/2020
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