Individual
MR. BRAD A. VAMSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LAT
Contact information
Practice address
800 COMPASSION WAY, DODGEVILLE, WI 53533-1956
(608) 930-7147
Mailing address
1112 PROFESSIONAL DR APT 205, DODGEVILLE, WI 53533-1180
(608) 930-7766
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
450-039
WI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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