| Thomas Vnuk Sole Member | |
|
503 Remington St Ste 105 Fort Collins CO 80524-3089 | |
| (907) 221-2693 | |
| Not Available |
| Full Name | Thomas Vnuk Sole Member |
|---|---|
| Speciality | Counselor - Professional |
| Location | 503 Remington St Ste 105, Fort Collins, Colorado |
| Authorized Official Name and Position | Thomas Vnuk (OWNER) |
| Authorized Official Contact | 9072212693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Vnuk Sole Member 2101 Stillwater Creek Dr Fort Collins CO 80528-8511 Ph: () - | Thomas Vnuk Sole Member 503 Remington St Ste 105 Fort Collins CO 80524-3089 Ph: (907) 221-2693 |
| NPI Number | 1619728896 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619728896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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