Individual
PETER ALTSCHWAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ALGOMA BLVD, OSHKOSH, WI 54901-3551
(920) 424-1234
Mailing address
202 W IRVING AVE, OSHKOSH, WI 54901-4442
(262) 483-7995
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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