Individual
MR. STACEY SCHUERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
1111 DELAFIELD ST, 120, WAUKESHA, WI 53188-3417
(262) 544-5311
(262) 521-1091
Mailing address
2426 SPRINGDALE RD, 108, WAUKESHA, WI 53186
(402) 630-4049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1230-039
WI
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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