Athletic and Therapeutic Institute of Milwaukee, LLC

NPI #1538581418 in Pewaukee, Wisconsin

Provider Information

NPI Number
1538581418
Entity Type
Organization
Organization Name
Athletic and Therapeutic Institute of Milwaukee, LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Jan 13, 2014
Last Updated
Jan 13, 2014

Practice Location

Address
2835 N GRANDVIEW BLVD
Address 2
STE 100
ZIP Code
53072-5546
Phone
(262) 262-1100

Authorized Official

Name
LYNN MCGIVERN
Title
CHIEF COMPLIANCE OFFICER
Phone
(630) 296-2222

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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