Individual
DANNIELLE KORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
519 W MAIN ST, WHITEWATER, WI 53190-1852
(262) 473-0410
Mailing address
519 W MAIN ST, WHITEWATER, WI 53190-1852
(262) 473-0410
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1188-39
WI
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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