EDWARD V VAN DEWATER

MOUNT PLEASANT, WI
NPI1083772529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  9822-024)
Enumeration Date2006-12-05
Last Update Date2021-11-21
Business Address
Mr. EDWARD V VAN DEWATER MPT CSCS
6222 WASHINGTON AVE
MOUNT PLEASANT, WI 53406-3948
Phone number: 262-884-6418
Mailing Address
Mr. EDWARD V VAN DEWATER MPT CSCS
6222 WASHINGTON AVE
MOUNT PLEASANT, WI 53406-3948
Phone number: 262-884-6418