Individual
DR. WALTER JAN VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5336 HIGHWAY 1 AVE., TUTUILA SLEEP CLINIC, PAGO PAGO, AS 96799
(684) 699-8336
Mailing address
PO BOX 5336, TUTUILA SLEEP CLINIC, PAGO PAGO, AS 96799-5336
(684) 699-8336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2015-A
AS
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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