Individual
BRENNEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 SUNSET DR, ANTIGO, WI 54409-1055
(715) 610-5737
Mailing address
414 SUNSET DR, ANTIGO, WI 54409-1055
(715) 610-5737
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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