Individual
MICHAEL STIMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, LAT
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 748-9633
Mailing address
1612 ROOSEVELT AVE, OSHKOSH, WI 54901-1733
(920) 573-0983
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1830-19
WI
2255A2300X
Athletic Trainer
1435-39
WI
Other
Enumeration date
06/03/2011
Last updated
06/22/2016
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