Individual
JASON PAUL LINZMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1300 EGG HARBOR RD, SUITE #108, STURGEON BAY, WI 54235-1277
(920) 495-4303
Mailing address
990 S OXFORD AVE, APT 6, STURGEON BAY, WI 54235-2073
(920) 495-4303
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1492
WI
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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