Individual
MICHAEL JUSTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
114 E GREEN TREE RD, CLINTONVILLE, WI 54929-1182
(715) 823-3336
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12464-24
WI
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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