PATRICIA WANKUM

MEQUON, WI
NPI1578077673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-11-28
Last Update Date2017-11-28
Business Address
PATRICIA WANKUM ATC, LAT
12800 N LAKE SHORE DR
MEQUON, WI 53097-2418
Phone number: 262-243-4537
Mailing Address
PATRICIA WANKUM ATC, LAT
2305 SW WESTMINSTER DR
LEES SUMMIT, MO 64082-4060
Phone number: