Individual
ELIZABETH FRIESEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
8700 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3595
(415) 805-7111
Mailing address
8700 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3595
(415) 805-7111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1617-39
WI
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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