THEODORE VANDERMEUSE

PORTAGE, WI
NPI1326456245
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2014-07-23
Last Update Date2014-07-23
Business Address
-- THEODORE VANDERMEUSE ATC/LAT
2817 NEW PINERY RD
PORTAGE, WI 53901-9240
Phone number: 608-745-6290
Mailing Address
-- THEODORE VANDERMEUSE ATC/LAT
2817 NEW PINERY RD
PORTAGE, WI 53901-9240
Phone number: 608-745-6290
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