Ethan B Natzke
Ethan B Natzke is an Athletic Trainer in Mequon, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
12800 N Lake Shore DrMequon, WI 53097-2418
Phone: (314) 566-1596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1861137713 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 4, 2022 |
| Last updated in NPPES | May 4, 2022 |
| Certification date | May 4, 2022 |
| Mailing address | 12800 N Lake Shore Dr, Mequon, WI 53097-2418 |
Other providers in Mequon
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