Ethan B Natzke

NPI #1861137713 in Mequon, Wisconsin

Provider Information

NPI Number
1861137713
Entity Type
Individual
Name
Ethan B Natzke
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
May 4, 2022
Last Updated
May 4, 2022

Practice Location

Address
12800 N LAKE SHORE DR
City
Mequon
ZIP Code
53097-2418
Phone
(314) 566-1596

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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