Individual
BRIAN S WISMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, KT
Contact information
Practice address
770 CASTLEWOOD LN, DEERFIELD, IL 60015-3971
(847) 236-9499
(847) 236-1107
Mailing address
770 CASTLEWOOD LN, DEERFIELD, IL 60015-3971
(847) 236-9499
(847) 236-1107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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