Individual
MR. MARIO AMIK FEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9141 W LISBON AVE, MILWAUKEE, WI 53222-2722
(414) 699-8993
Mailing address
9141 W LISBON AVE, MILWAUKEE, WI 53222-2722
(414) 699-8993
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10594
WI
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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