Individual
MR. BRIAN J AZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
933 NEWBURY ST, RIPON, WI 54971-1730
(920) 748-9138
Mailing address
107 DOTY ST, RIPON, WI 54971-1329
(920) 748-8775
(920) 748-7386
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
188-039W
WI
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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