Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY DAVID PREMO, ATC
ActiveGARY DAVID PREMO, ATC is a Athletic Trainer healthcare provider located in WAUPACA, Wisconsin. NPI 1710113105 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WAUPACA, WI
Registration Details
- NPI Number
- 1710113105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2009 (17.171082108482 yrs)
- Last Updated
- May 31, 2009
- License
-
979-039 (WI)
Practice Information
- Address
-
800 RIVERSIDE DRWAUPACA, WI, 549811943Browse WI providers · Browse ZIP 54981
- Phone
- 7152581053
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WAUPACA, WI
| Name | Credential | NPI |
|---|---|---|
| CASSANDRA GLODOWSKI | MS,LAT,ATC | 1558814244 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.