Individual
MATTHEW WILFUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
605 WASHINGTON ST, FAYETTE, IA 52142-9206
(563) 425-5364
Mailing address
E9033 WORM RD, NEW LONDON, WI 54961-8463
(920) 359-0224
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
079020
IA
Other
Enumeration date
10/05/2015
Last updated
04/12/2016
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