Gary David Premo ATC

  • NPI 1710113105
According to our database, the NPI number for Gary David Premo ATC is 1710113105 and activated since 14 years ago. Gary David Premo ATC is an individual provider who specializes in Athletic Trainer, and the primary practice location is 800 Riverside Dr, Waupaca, WI 54981. You can also contact Gary David Premo ATC via telephone number is (715) 258-1053. Provider NPI information was last updated on 05/31/2009.

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Overview of Gary David Premo ATC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/31/2009
  • Last updated: 05/31/2009

Primary Scrop of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 979-039
  • License State: WI

Provider Mailing Address

  • Address: 208 W Wisconsin St
    Weyauwega, WI 54983
  • Phone: 715-570-5889
  • Fax:

Provider Practice Location

  • Address: 800 Riverside Dr
    Waupaca, WI 54981
  • Phone: 715-258-1053
  • Fax:

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 979-039
  • License State: WI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Gary David Premo ATC?
  • A: The npi number for Gary David Premo ATC is 1710113105.
  • Q: What are Gary David Premo ATC's specialties?
  • A: Gary David Premo ATC's specialties are Athletic Trainer and different specialities.
  • Q: What is the medical license for Gary David Premo ATC?
  • A: The medical license number for Gary David Premo ATC is 979-039 and issued in WI in USA.
  • Q: Where is Gary David Premo ATC practice location?
  • A: Gary David Premo ATC is practicing at 800 Riverside Dr, Waupaca, WI 54981.
  • Q: How to contact Gary David Premo ATC?
  • A: You can contact Gary David Premo ATC via 715-258-1053.
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