Justin C Brondstad at Your Service LLC
NPI #1174178040 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1174178040
- Entity Type
- Organization
- Organization Name
- Justin C Brondstad at Your Service LLC
- Primary Specialty
- Point of Service
- Enumeration Date
- Aug 7, 2019
- Last Updated
- Aug 7, 2019
Practice Location
- Address
- 1215 W CRAMER ST
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-1001
- Phone
- (608) 451-1708
Authorized Official
- Name
- JUSTIN C BRONDSTAD
- Title
- OWNER/OPERATOR
- Phone
- (608) 451-1708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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