Individual
MR. BRIAN J MILNARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
N496 MILKY WAY, APPLETON, WI 54915-3993
(920) 420-4371
Mailing address
N9642 COUNTY RD N, APPLETON, WI 54915-9312
(920) 420-4371
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
55639
WI
Other
Enumeration date
10/07/2005
Last updated
05/02/2011
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