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Individual

TAYLOR WEUVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
445 W CALUMET ST, APPLETON, WI 54915-1401
(920) 725-9373
Mailing address
445 W CALUMET ST, APPLETON, WI 54915-1401
(920) 725-9373

Taxonomy

Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
2553-39
WI
2255A2300X
Athletic Trainer
Primary
2553-39
WI

Other

Enumeration date
12/08/2016
Last updated
10/18/2024
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