Individual
MARC VIERGUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 E SOUTH RIVER ST, APPLETON, WI 54915-2222
(920) 832-6760
Mailing address
W6607 E MIDWAY RD APT 88, APPLETON, WI 54915-4867
(303) 248-6821
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2545
WI
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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