Individual
PATRICIA WILLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-0290
Mailing address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-0290
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
1000438
WI
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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