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Individual

MR. MATTHEW STEVEN BEKKEDAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
A.T.C.

Contact information

Practice address
2817 NEW PINERY RD STE 103, PORTAGE, WI 53901-9257
(608) 745-6290
Mailing address
3199 BOOKHAM DR, SUN PRAIRIE, WI 53590-4587
(608) 834-1485

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
618-039
WI

Other

Enumeration date
05/23/2007
Last updated
05/10/2026
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