Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel David Gjerset Vandehaar

Individual provider Athletic Trainer · NPI 1376033126

Samuel David Gjerset Vandehaar is an Athletic Trainer in Mequon, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

12800 N Lake Shore Dr
Mequon, WI 53097-2418
Phone: (715) 944-9037
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1376033126
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2018
Last updated in NPPESMay 17, 2018

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