Individual
TYLER DAVID BARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
W159N9671 BUTTERNUT RD, GERMANTOWN, WI 53022-5148
(262) 347-9607
Mailing address
W159N9671 BUTTERNUT RD, GERMANTOWN, WI 53022-5148
(262) 347-9607
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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