Individual
MR. PHILLIP OBLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
4600 W FILLMORE DR, MILWAUKEE, WI 53219-2360
(760) 368-7993
Mailing address
4600 W FILLMORE DR, MILWAUKEE, WI 53219-2360
(760) 368-7993
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1569-39
WI
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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