Individual
DAVAN S FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 E EMMERS DR, APPLETON, WI 54915-3802
(920) 832-6212
Mailing address
1050 COUNTY ROAD QQ APT 14, WAUPACA, WI 54981-8620
(920) 400-2265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WI
Other
Enumeration date
02/14/2022
Last updated
07/26/2022
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