Individual
FREDRICK MAXWELL VERMEERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2502 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(920) 470-4810
Mailing address
621 TARRAGON DR APT 8, KAUKAUNA, WI 54130-4328
(920) 470-4810
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1718-39
WI
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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