Gary David Premo, ATC
NPI #1710113105 in Waupaca, Wisconsin
Provider Information
- NPI Number
- 1710113105
- Entity Type
- Individual
- Name
- Gary David Premo, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- May 31, 2009
- Last Updated
- May 31, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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