CALLIE RADOVICH, ATC, LAT, MSES

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1831580562

Practice Address

12800 N LAKE SHORE DR
Mequon, WI 53097

Phone: (262) 243-2056

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 1496-39 (WI)

Frequently Asked Questions

NPI 1831580562 is the National Provider Identifier for CALLIE RADOVICH, ATC, LAT, MSES, a Specialist/Technologist - Athletic Trainer provider located in Mequon, WI. This NPI was enumerated on February 17, 2015.
CALLIE RADOVICH, ATC, LAT, MSES practices at 12800 N LAKE SHORE DR, Mequon, WI 53097.

Quick Facts

NPI
1831580562
Type
Individual
Enumerated
Feb 17, 2015
Last Updated
Dec 28, 2018

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