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

ERIC WILLIAM BROSTROM, MS, LAT, ATC

Active

ERIC WILLIAM BROSTROM, MS, LAT, ATC is a Athletic Trainer healthcare provider located in BROOKFIELD, Wisconsin. NPI 1922626670 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BROOKFIELD, WI

Registration Details

NPI Number
1922626670
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2020 (6.0617282398887 yrs)
Last Updated
Jul 9, 2020
License
1909-39 (WI)

Practice Information

Address
3305 LILLY RD
BROOKFIELD, WI, 530057608
Browse WI providers · Browse ZIP 53005
Phone
2627813500
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BROOKFIELD, WI

Name Credential NPI
GAIL LYNN BONOFIGLIO LAT 1154540896
MICHAEL A THOMPSON LAT 1821217571
MARK ALBERG ATC 1154710986
MATTHEW JOHNSON 1992183057
MR. ROBERT W REINKE ATC 1093170144
GREG STREGE ATC, LAT 1447775705
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.