Individual
DR. NATHAN ROBERT MAYERNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
4123 RADIO DR, SUITE 100, WOODBURY, MN 55129
(651) 968-5201
Mailing address
1830 HANLEY RD, HUDSON, WI 54016-9368
(715) 386-1155
(715) 386-1105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13483-24
WI
Other
Enumeration date
06/08/2016
Last updated
10/26/2017
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