Gary Premo, ATC

NPI 1710113105 · on the registry since 2009

Practice

Address: 800 Riverside Dr
Waupaca, WI 54981
Phone: (715) 258-1053
Organisation at this address: Richard S Veiga Md Sc
Waupaca Woods Pharmacy Inc.
Shopko Stores Operating Co Llc
Rural Audiology Services, Inc.
Valley Urologic Associates, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 59

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-05-31

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