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Individual

MR. ANTHONY P HORNUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD, MILWAUKEE, WI 53226-3421
(414) 955-7199
(414) 955-0110
Mailing address
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD, MILWAUKEE, WI 53226-3421
(414) 955-7199
(414) 955-0110

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2939
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006806261U
HUMANA
05
1942251772
WI
Enumeration date
05/15/2006
Last updated
01/25/2013
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