Tim Van Der Perren

NPI 1972615292 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1972615292
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
501 PARK AVE
OCONTO WI, 54153-1612, US
Phone (920) 834-6875
Fax
Business Location
2543 TELLURIDE TRL APT C
GREEN BAY WI, 54313-3972, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Wisconsin
License Number 1928-154
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According to our database, Tim Van Der Perren NPI is 1972615292, taxonomy code is 235Z00000X and license number is 1928-154, license state is located at Wisconsin. Tim Van Der Perren physically located at 501 Park Ave, Oconto WI, 54153-1612. NPI Number Tim Van Der Perren has the Individual type.

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1972615292 NPI number is provided on an as is basis without warranty of any kind. 1972615292 is maintained by the National Plan & Provider Enumeration System. The contents of Tim Van Der Perren are for informational purposes only.