Individual
BRIAN CLEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, RCEP
Contact information
Practice address
3100 SHORE DR, MARINETTE, WI 54143-4242
(715) 735-4200
Mailing address
W2183 COUNTY ROAD B, MARINETTE, WI 54143-9462
(715) 938-2306
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
—
—
2255A2300X
Athletic Trainer
Primary
1009-39
WI
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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