Individual
HALIE STOLTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 MAPLE ST, GRAFTON, WI 53024-2904
(920) 277-7052
Mailing address
525 MAPLE ST, GRAFTON, WI 53024-2904
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
02/08/2025
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