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Samuel Vandehaar
NPI 1376033126 · on the registry since 2018
Practice
- Address
- 12800 N Lake Shore Dr
Mequon, WI 53097 - Phone
- (715) 944-9037
- Organisation at this address
- Concordia University, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 62
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Male
- Record last updated
- 2018-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin