Individual
MR. JOSEPH J OLSZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LAT CSCS
Contact information
Practice address
4506 79TH ST, KENOSHA, WI 53142-4519
(262) 705-1203
Mailing address
4506 79TH ST, KENOSHA, WI 53142
(262) 705-1203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
524039
WI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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