Individual
TY KRISTOFER MICHALOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
114 HINMAN AVE, WAUKESHA, WI 53186-6003
(970) 409-8321
Mailing address
114 HINMAN AVE, WAUKESHA, WI 53186-6003
(970) 409-8321
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3044-39
WI
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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