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Individual

MATTHEW T HUSNIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT

Contact information

Practice address
2725 JACKSON ST, OSHKOSH, WI 54901-1513
(920) 209-1381
Mailing address
1380A CEAPE AVE, OSHKOSH, WI 54901-5426
(319) 560-4212

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
938-039
WI

Other

Enumeration date
12/11/2007
Last updated
12/11/2007
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