Individual
MR. RYAN PAUL SOWKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 E STATE ST, BURLINGTON, WI 53105-1915
(262) 903-7012
Mailing address
189 LEWIS ST APT 1, ELKHORN, WI 53121-1968
(262) 725-2737
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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