Individual
DANIEL GAERTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 S DEAKIN ST, MOSCOW, ID 83844-9802
(414) 758-4177
Mailing address
11235 W WHITAKER AVE, GREENFIELD, WI 53228-2513
(414) 758-4177
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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