Individual
RILEY MISKIMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N4353 OAK LAWN ESTS, IRON RIDGE, WI 53035-9765
(262) 305-1534
Mailing address
N4353 OAK LAWN ESTS, IRON RIDGE, WI 53035-9765
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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