Individual
CORY SIEGRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
950 SHERMAN ST APT 814, MAUSTON, WI 53948-2317
(608) 547-0277
Mailing address
950 SHERMAN ST APT 814, MAUSTON, WI 53948-2317
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
989575
WI
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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