Individual
GREGORY BEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 S UNIVERSITY AVE STE 150, BEAVER DAM, WI 53916-3071
(920) 219-4009
Mailing address
705 S UNIVERSITY AVE STE 150, BEAVER DAM, WI 53916-3071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
229319
WI
2255A2300X
Athletic Trainer
Primary
58839
WI
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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