Individual
ERIC WILLIAM BROSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
3305 LILLY RD, BROOKFIELD, WI 53005-7608
(262) 781-3500
Mailing address
N73W6913 WALNUT ST, CEDARBURG, WI 53012-1165
(715) 459-8343
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1909-39
WI
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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