Gregory Stephan Vergamini in Superior - Sports
Gregory Stephan Vergamini - NPI 1043384985
Gregory Stephan Vergamini is a Sports in Superior, Wisconsin. Gregory Stephan Vergamini practices all healthcare services and medical treatments related to Sports. The NPI Number for Gregory Stephan Vergamini is 1043384985. The last update date is 2007-07-08.
Gregory Stephan Vergamini's current location address is 3500 Tower Ave, Superior, Wisconsin. You can contact this provider via phone number 7153955454. The mailing address for Gregory Stephan Vergamini is 3500 Tower Ave, Superior, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Stephan Vergamini |
|---|---|
| Address | 3500 Tower Ave, Superior, Wisconsin |
| Phone Number | 7153955454 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT, ATC |
NPI Number Detail
| NPI Number | 1043384985 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3500 Tower Ave |
|---|---|
| City | Superior |
| State | Wisconsin (WI) |
| Post Code | 548805335 |
| Phone Number | 7153955454 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 1790-024 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Post Comment/ Review Below
What is the Gregory Stephan Vergamini's 1043384985?
The Gregory Stephan Vergamini's NPI (National Provider Identifier) Number is 1043384985. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gregory Stephan Vergamini is physically located?
The Gregory Stephan Vergamini is physically situated at the following address: 3500 Tower Ave, Superior, WI, 548805335.
What is Gregory Stephan Vergamini's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gregory Stephan Vergamini is Sports, and the taxonomy classification code that categorizes this area of expertise is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043384985 to Gregory Stephan Vergamini?
The Gregory Stephan Vergamini received its 1043384985 assignment from the Centers for Medicare & Medicaid Services on 2006-11-20.
When was the Gregory Stephan Vergamini's information last updated?
The Gregory Stephan Vergamini's information was last updated on 2007-07-08.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT