Eric M. Prom, LAT

NPI #1750683751 in Minocqua, Wisconsin

Provider Information

NPI Number
1750683751
Entity Type
Individual
Name
Eric M. Prom, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT
Enumeration Date
Nov 23, 2010
Last Updated
Aug 22, 2013

Practice Location

Address
9601 TOWNLINE RD
ZIP Code
54548-9099
Phone
(715) 358-1000

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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