Samuel David Gjerset Vandehaar
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 DrMequon, WI 53097-2418
Phone: (715) 944-9037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1376033126 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 17, 2018 |
| Last updated in NPPES | May 17, 2018 |
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