Individual
BRANT JOHN WESOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2650 65TH AVE, OSCEOLA, WI 54016
(715) 294-1116
Mailing address
4524 479TH AVE., MENOMONIE, WI 54751
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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