Individual
MRS. PAMELA MARIE WARREN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS LAT
Contact information
Practice address
16 E MENARD PLAZA, SPORT & SPINE CLINIC, WAUSAU, WI 54402
(715) 845-2942
(715) 842-3416
Mailing address
1409 W KNOX ST, WAUSAU, WI 54401
(715) 843-6692
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
187039
WI
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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