CONRAD MICHOLAS BOLZ

EAU CLAIRE, WI
NPI1770173791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2021-01-23
Last Update Date2022-04-04
Business Address
CONRAD MICHOLAS BOLZ ATC
509 UNIVERSITY DRIVE
EAU CLAIRE, WI 54701
Phone number: 715-836-3840
Mailing Address
CONRAD MICHOLAS BOLZ ATC
N2965 PIRUS RD
WITHEE, WI 54498-9326
Phone number: 715-965-3915
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