Individual
MR. DAVID A STAHLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, CSCS
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-5400
Mailing address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8540
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
518-39
WI
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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