Individual
ELAN INEZ VAN VLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2501 W BELTLINE HWY STE 207, MADISON, WI 53713-2321
(608) 417-7341
(608) 417-5770
Mailing address
2501 W BELTLINE HWY STE 207, MADISON, WI 53713-2321
(608) 417-7341
(608) 417-5770
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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