Individual
CHAD ROBERT VERCIMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5200 HUMMINGBIRD RD, STE 100, WAUSAU, WI 54401-6312
(715) 359-6442
(715) 393-0390
Mailing address
5200 HUMMINGBIRD RD, STE 100, WAUSAU, WI 54401-6312
(715) 359-6442
(715) 393-0390
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89655
NATIONAL CERTIFICATION SU
—
Enumeration date
09/21/2006
Last updated
03/07/2013
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