Individual
JAMIE FAHRENKRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3261
Mailing address
207 JADEN DR, MILLTOWN, WI 54858-9075
(715) 497-5903
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1610-39
WI
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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