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Frederick Jacobus Van Vuuren
Family Nurse Practitioner in Glendale, Wisconsin
NPI 1588235105

Frederick Jacobus Van Vuuren is a Family Nurse Practitioner based in Milwaukee, WI and is specialized in Family. Frederick Jacobus Van Vuuren practices in Glendale, WI. The NPI Number for Frederick Jacobus Van Vuuren is 1588235105 and holds a License No. 10598 (Wisconsin).

The current practice location address for Frederick Jacobus Van Vuuren is 377 W River Woods Pkwy Ste 201, Glendale, WI and can be reached out via phone at 414-323-6880. You can also correspond with Frederick Jacobus Van Vuuren through the mailing address at 2500 W MANGOLD AVE, MILWAUKEE, WI - 53221-4965 (mailing address contact number: 262-777-0798).

Location: 377 W River Woods Pkwy Ste 201, Glendale, WI, 53221-4965
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Provider Profile Details
NPI Number
1588235105
Provider Name
Frederick Jacobus Van Vuuren
Credential
Provider Entity Type
Individual
Gender
Male
Address
377 W River Woods Pkwy Ste 201, Glendale, WI, 53221-4965
Phone Number
414-323-6880
Fax Number
Provider Enumeration Date
07/06/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10598 01 WI NP LICENSE
institution
Provider Business Practice Location Address Details
Address
377 W River Woods Pkwy Ste 201
City
State
Zip
53212-1088
Phone Number
414-323-6880
Fax Number
person
Provider Business Mailing Address Details
Address
2500 W Mangold Ave
City
State
Zip
53221-4965
Phone Number
262-777-0798
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
10598 (Wisconsin)
Definition
Definition to come...
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