Individual
MADELINE MITTLESTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 MADISON ST LOWR UNIT, WAUKESHA, WI 53188-4331
(920) 213-3417
Mailing address
1029 MADISON ST LOWR UNIT, WAUKESHA, WI 53188-4331
(920) 213-3417
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
03/25/2021
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