SHELDON ERIC WAGNER

LA CROSSE, WI
NPI1730174749
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WI  252-039)
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MN  1270)
Enumeration Date2005-09-15
Last Update Date2007-07-08
Business Address
MR. SHELDON ERIC WAGNER ATC
1900 SOUTH AVE
LA CROSSE, WI 54601-5467
Phone number: 608-782-7300
Mailing Address
MR. SHELDON ERIC WAGNER ATC
455 19TH ST S
LA CROSSE, WI 54601-5068
Phone number: 608-796-0111
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