Individual
TOU VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 S 21ST PL, WAUSAU, WI 54401-5216
(715) 212-5843
Mailing address
911 S 21ST PL, WAUSAU, WI 54401-5216
(715) 212-5843
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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