FREDRICK MAXWELL VERMEERN

GREEN BAY, WI
NPI1831551639
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1718-39)
Enumeration Date2016-03-22
Last Update Date2016-03-22
Business Address
-- FREDRICK MAXWELL VERMEERN ATC, LAT
2502 S ASHLAND AVE
GREEN BAY, WI 54304-5252
Phone number: 920-470-4810
Mailing Address
-- FREDRICK MAXWELL VERMEERN ATC, LAT
621 TARRAGON DR APT 8
KAUKAUNA, WI 54130-4328
Phone number: 920-470-4810
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