Individual
ALAN ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
N7133 WINNEBAGO DR, FOND DU LAC, WI 54935-2722
(920) 251-3828
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12921-24
WI
225100000X
Physical Therapist
PT29653
FL
Other
Enumeration date
03/26/2015
Last updated
05/29/2024
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