Individual
BRANDON WILLIAM STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
E18771 SHADY LN, HILLSBORO, WI 54634-3081
(608) 434-5105
Mailing address
1462 EASTVIEW DR, CORALVILLE, IA 52241-1012
(608) 434-5105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2017
Last updated
12/28/2022
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