Individual
JOSHUA KOVACEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 LONE OAK LN, HARTFORD, WI 53027-2600
(262) 670-1800
Mailing address
110 LONE OAK LN, HARTFORD, WI 53027-2600
(262) 744-1629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2015
Last updated
04/18/2023
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