Individual
BRAD L ECKLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
208 PARKER ST, BOSCOBEL, WI 53805-1648
(608) 375-4144
Mailing address
100 VIKING ST, COON VALLEY, WI 54623-8338
(608) 498-0448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3796-23
—
Other
Enumeration date
07/11/2016
Last updated
07/21/2022
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