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1619599750
TRENTON VANDEWATER
MILWAUKEE, WI
NPI
1619599750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
TRENTON VANDEWATER MD
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: 414-456-4575
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Mailing Address
TRENTON VANDEWATER MD
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: 414-456-4575
Copy
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