Individual
BRIAN J. PACYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
5412 HIGHWAY 10 EAST, STEVENS POINT, WI 54481
(715) 346-5243
(715) 346-5419
Mailing address
5412 HIGHWAY 10 EAST, STEVENS POINT, WI 54481
(715) 346-5243
(715) 346-5419
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
312-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312-039
WI STATE LICENSE
WI
Enumeration date
01/10/2007
Last updated
07/08/2007
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