Individual
MR. BEETHOVEN CARABACAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, CSCS, BS, MS
Contact information
Practice address
1111 DELAFIELD ST, SUITE 15, WAUKESHA, WI 53188-3417
(262) 521-9762
(262) 521-1091
Mailing address
1300 N 116TH ST, APT. 3, WAUWATOSA, WI 53226-3262
(414) 324-4172
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
657-039
WI
Other
Enumeration date
04/20/2006
Last updated
07/13/2026
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