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Justin C Brondstad At Your Service Llc
Point of Service in Fort Atkinson, Wisconsin
NPI 1174178040

Justin C Brondstad At Your Service Llc is a Point of Service based in Fort Atkinson, WI. Justin C Brondstad At Your Service Llc practices in Fort Atkinson, WI. The NPI Number for Justin C Brondstad At Your Service Llc is 1174178040 and holds a License No. (Wisconsin).

The current practice location address for Justin C Brondstad At Your Service Llc is 1215 W Cramer St, Fort Atkinson, WI and can be reached out via phone at 608-451-1708.

Location: 1215 W Cramer St, Fort Atkinson, WI, 53538-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174178040
Provider Name
Justin C Brondstad At Your Service Llc
Credential
Provider Entity Type
Organization
Address
1215 W Cramer St, Fort Atkinson, WI, 53538-1001
Phone Number
608-451-1708
Fax Number
Provider Enumeration Date
08/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1215 W Cramer St
City
Fort Atkinson
State
Wisconsin
Zip
53538-1001
Phone Number
608-451-1708
Fax Number
person
Provider Business Mailing Address Details
Address
1215 W Cramer St
City
Fort Atkinson
State
Wisconsin
Zip
53538-1001
Phone Number
608-451-1708
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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