MR. Brian J Azinger, LAT, ATC

NPI #1770630071 in Ripon, Wisconsin

Provider Information

NPI Number
1770630071
Entity Type
Individual
Name
MR. Brian J Azinger, LAT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Jan 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
933 NEWBURY ST
City
Ripon
ZIP Code
54971-1730
Phone
(920) 748-9138

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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