Individual
JUSTIN A EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
45 S NATIONAL AVE, FOND DU LAC, WI 54935-4621
(920) 923-8588
Mailing address
407 HARRISON ST APT 14, NORTH FOND DU LAC, WI 54937-1582
(608) 444-2911
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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