FREDERICK JACOBUS VAN VUUREN

GLENDALE, WI
NPI1588235105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: WI  10598)
Enumeration Date2021-07-06
Last Update Date2021-08-31
Business Address
FREDERICK JACOBUS VAN VUUREN
377 W RIVER WOODS PKWY STE 201
GLENDALE, WI 53212-1088
Phone number: 414-323-6880
Mailing Address
FREDERICK JACOBUS VAN VUUREN
2500 W MANGOLD AVE
MILWAUKEE, WI 53221-4965
Phone number: 262-777-0798
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