Individual
MR. JAMES TEWELES SHLIMOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1478
Mailing address
515 OAKRIDGE DR, PORTAGE, WI 53901-1219
(608) 742-8470
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
43-039
WI
Other
Enumeration date
08/22/2005
Last updated
09/24/2015
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