SHANE JERALD VLCEK

EAU CLAIRE, WI
NPI1386952794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  4812)
Enumeration Date2010-09-20
Last Update Date2022-08-08
Business Address
SHANE JERALD VLCEK P.A.
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Phone number: 715-838-5222
Mailing Address
SHANE JERALD VLCEK P.A.
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 715-838-5222
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