Individual
BRANDON YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
770 N 12TH ST, MILWAUKEE, WI 53233-2203
(414) 288-3067
(414) 288-0325
Mailing address
770 N 12TH ST, MILWAUKEE, WI 53233-2203
(414) 288-3067
(414) 288-0325
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1613-39
WI
2255A2300X
Athletic Trainer
24-00562
KS
Other
Enumeration date
01/19/2011
Last updated
07/22/2021
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