Individual
ROD JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 FOREST GROVE DR STE 207, PEWAUKEE, WI 53072-3738
(877) 732-2262
Mailing address
285 FOREST GROVE DR STE 207, PEWAUKEE, WI 53072-3738
(877) 732-2262
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001622-1
NY
Other
Enumeration date
12/02/2014
Last updated
03/17/2018
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