DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN S WISMER, ATC, KT

Active Sole Proprietor

BRIAN S WISMER, ATC, KT is a Athletic Trainer healthcare provider located in DEERFIELD, Illinois. NPI 1598896011 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · DEERFIELD, IL

Registration Details

NPI Number
1598896011
Provider Type
Individual
Gender
Male
NPI Issued
Mar 8, 2007 (19.398653940491 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
770 CASTLEWOOD LN
DEERFIELD, IL, 600153971
Browse IL providers · Browse ZIP 60015
Phone
8472369499
Fax
8472361107
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in DEERFIELD, IL

Name Credential NPI
MR. RYAN DAVID WILKINSON EDD, LAT, ATC, CSCS 1659410710
MR. DENNY WONGOSARI MS, LAT, ATC 1649604737
ELIZABETH WAJSWOL 1366997926
JOYLYNN LEANNE BLASING 1649725219
SARAH SCHUFFERT 1710432380
GRANT KLOTZBUECHER 1083169692
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.