Individual
MR. JASON SCOTT CERKONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
2817 NEW PINERY RD, SUITE 103, PORTAGE, WI 53901-9257
(608) 745-6290
(608) 745-6250
Mailing address
2817 NEW PINERY RD, SUITE 103, PORTAGE, WI 53901-9257
(608) 745-6290
(608) 745-6250
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WI
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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