Individual
JAMES E DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
2835 N GRANDVIEW BLVD, SUITE 100, PEWAUKEE, WI 53072-5531
(262) 574-5185
(262) 574-5193
Mailing address
2020 N 51ST ST, MILWAUKEE, WI 53208-1746
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
847039
WI
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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