Individual
MR. BRENT JOSEPH HILT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 S NATIONAL AVE, FOND DU LAC, WI 54935-5334
(920) 922-7342
Mailing address
1103 SQUIRE LN, WEST BEND, WI 53090-8436
(920) 238-7255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3948
WI
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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