Individual
JOSH C PRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2999 N MAYFAIR RD, WAUWATOSA, WI 53222-4306
(414) 479-7000
Mailing address
3899 BEAVER DAM RD, WEST BEND, WI 53090-9301
(608) 518-2801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16010-24
WI
Other
Enumeration date
07/14/2022
Last updated
07/15/2022
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