NPI 1174178040

Justin C Brondstad at Your Service LLC

Organisation Point of Service Fort Atkinson, WI

Practice location

Address: 1215 W Cramer St, Fort Atkinson, WI 53538-1001
Phone: (608) 451-1708

Authorised official

Name: Justin C Brondstad
Title: Owner/Operator
Phone: (608) 451-1708

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1174178040
Entity type: Organization
NPI issued: 7 Aug 2019
Record last updated: 7 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.