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Individual

MR. JOSEPH RICHARD CIESZYNSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
2335 N 118TH ST, WAUWATOSA, WI 53226-1125
(414) 617-8874
Mailing address
2335 N 118TH ST, WAUWATOSA, WI 53226-1125
(414) 617-8874

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
452-039
WI

Other

Enumeration date
03/20/2007
Last updated
07/08/2007
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