Individual
BRIAN A. VETTERKIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2225 WISCONSIN AVE STE 100, GRAFTON, WI 53024
(262) 474-0063
(262) 222-6281
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
(262) 657-7190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12017-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
859400077
MEDICARE
WI
01
—
WI2660001
MEDICARE
WI
Enumeration date
07/20/2012
Last updated
08/06/2019
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