Individual
GARRETT VUCENIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
7610 PERSHING BLVD, KENOSHA, WI 53142-4318
(715) 296-0132
Mailing address
5815 5TH AVE APT 415, KENOSHA, WI 53140-4207
(715) 296-0132
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/23/2015
Last updated
02/28/2017
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