Individual
MR. BRYAN FRANCIS KLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9425 COUNTY RD J APT 20, MINOCQUA, WI 54548-8301
(920) 373-7234
Mailing address
9425 COUNTY RD J APT 20, MINOCQUA, WI 54548-8301
(920) 373-7234
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2961-19
WI
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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