Individual
MICHAEL J TESLUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8935
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-025589
IL
225100000X
Physical Therapist
Primary
15721-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932790482
—
WI
Enumeration date
01/28/2021
Last updated
11/02/2022
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