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Individual

MR. GARTH F LASZINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED., ATC

Contact information

Practice address
W3718 SOUTH DR, PLYMOUTH, WI 53073-4878
(920) 565-1252
(920) 565-1399
Mailing address
PO BOX 359, SHEBOYGAN, WI 53082-0359
(920) 565-1252
(920) 565-1399

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
703-039
WI

Other

Enumeration date
01/04/2011
Last updated
01/04/2011
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