JOHN R VAN SUSTEREN

LAKE GENEVA, WI
NPI1619192150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  4467024)
Enumeration Date2007-04-17
Last Update Date2010-04-05
Business Address
-- JOHN R VAN SUSTEREN PT
800 GENEVA PKWY N SUITE 3
LAKE GENEVA, WI 53147-5701
Phone number: 262-248-9902
Mailing Address
-- JOHN R VAN SUSTEREN PT
800 GENEVA PKWY N SUITE 3
LAKE GENEVA, WI 53147-5701
Phone number: 262-248-9902
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