BRANDON MICHAEL PENNINGS

DENMARK, WI
NPI1215322011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  2000019385)
Enumeration Date2015-03-30
Last Update Date2015-03-30
Business Address
-- BRANDON MICHAEL PENNINGS ATC, LAT
224 WISCONSIN AVE
DENMARK, WI 54208-9737
Phone number: 920-713-0702
Mailing Address
-- BRANDON MICHAEL PENNINGS ATC, LAT
224 WISCONSIN AVE
DENMARK, WI 54208-9737
Phone number: 920-713-0702
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