Individual
BRODEN SCHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
220 KELLER AVE N, AMERY, WI 54001-1036
(715) 268-1008
Mailing address
1503 85TH AVE, AMERY, WI 54001-4947
(715) 557-1086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2168-39
WI
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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