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Individual

MR. ADAM THOMAS BROGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 732-9599
Mailing address
2901 WOODLANE DR APT 5, JANESVILLE, WI 53545-0280
(608) 732-9599

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2211-39
WI

Other

Enumeration date
11/21/2019
Last updated
11/21/2019
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