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Alexander Pokorski

Student in an Organized Health Care Education/Training Program in West Bend, WI. Individual provider (NPI-1).

NPI number1134864937
StatusActive
Last updated in NPPESMay 5, 2022

Details

NPI
1134864937
Entity type
Individual (NPI-1)
Name
Alexander Pokorski
Sex
Male
Sole proprietor
No
Enumeration date
May 5, 2022
Certification date
May 5, 2022
Last updated
May 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

1615 Larkspur Ln
West Bend, WI 53090-1037

Phone 262-689-6150

Mailing address

1615 Larkspur Ln
West Bend, WI 53090-1037

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Other Student in an Organized Health Care Education/Training Program providers in West Bend, WI

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