Individual
GEORGE KARL BERNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1111 E DELAFIELD RD, OCONOMOWOC, WI 53066-8673
(262) 560-3505
Mailing address
4534 N WILSON DR APT 4, SHOREWOOD, WI 53211-1346
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2069-39
WI
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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