Individual
MR. MICHAEL T LAMERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
760 PILGRIM WAY, GREEN BAY, WI 54304-5263
(920) 496-4750
Mailing address
1926 ERMA DR, GREEN BAY, WI 54302-3913
(920) 469-0354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
406-039
WI
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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