RUSSELL DONALD DE LAP, ATC
Athletic Trainer at Lake Shore Dr, Thiensville, WI

License number
Wisconsin 4039
Category
Restorative Service Providers
Type
Athletic Trainer
Address
Address 2
12800 N Lake Shore Dr, Thiensville, WI 53097
1165 Tower Hill Dr, Brookfield, WI 53045
Phone
(262) 243-4323
(262) 243-2969 (Fax)
(262) 789-5040
National Provider ID: 1104969336
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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