Individual
LANCE RODENBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-7263
Mailing address
9462 BOLTON RD, SAUK CITY, WI 53583-9717
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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