NPI 1457536690

Walter Jan Vermeulen, MD

Practitioner Specialist Pago Pago, AS

Practice location

Address: 5336 Highway 1 Ave. Tutuila Sleep Clinic, Pago Pago, AS 96799
Phone: (684) 699-8336
Mailing address: PO Box 5336 Tutuila Sleep Clinic, Pago Pago, AS 96799-5336

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 2015-A (AS)

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Registry record

NPI: 1457536690
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jan 2008
Record last updated: 7 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.