MICHAEL RICHARD SHAMPO

MARINETTE, WI
NPI1710718291
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1107-39)
Enumeration Date2024-08-08
Last Update Date2024-08-08
Business Address
MICHAEL RICHARD SHAMPO LAT, ATC
2135 PIERCE AVE
MARINETTE, WI 54143-3947
Phone number: 715-735-1300
Mailing Address
MICHAEL RICHARD SHAMPO LAT, ATC
702 MICHAELIS ST
MARINETTE, WI 54143-1041
Phone number: 906-748-4603
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