Individual
MR. ADAM EDWARD VANRANST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS-CCC-SLP
Contact information
Practice address
425 DAVIS ST, HAMMOND, WI 54015-9615
(715) 796-2218
Mailing address
1090 7TH AVE, BALDWIN, WI 54002-9223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2470154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42575800
—
WI
Enumeration date
05/18/2007
Last updated
07/08/2007
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