Individual
MR. MICHEAL SCOTT VANDENHUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, PTA
Contact information
Practice address
204 E CHARLES ST, OELWEIN, IA 50662-1940
(319) 283-2002
(319) 283-2015
Mailing address
204 E CHARLES ST, OELWEIN, IA 50662-1940
(319) 283-2002
(319) 283-2015
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
088131
IA
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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