Individual
CONNOR POLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
477 PARK LN, HUDSON, WI 54016-7526
(715) 338-4712
Mailing address
477 PARK LN, HUDSON, WI 54016-7526
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2016
Last updated
10/05/2022
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