Individual
DAVID MINCBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, NREMT
Contact information
Practice address
6740 ALDO LEOPOLD WAY, MIDDLETON, WI 53562-1198
(608) 333-4714
Mailing address
6740 ALDO LEOPOLD WAY, MIDDLETON, WI 53562-1198
(608) 333-4714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2478
NC
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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