Provider Demographics
NPI:1013970201
Name:VAUPEL, WAYNE CHARLES (ATC, NSCA-CPT)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:CHARLES
Last Name:VAUPEL
Suffix:
Gender:M
Credentials:ATC, NSCA-CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3938 BEEMAN RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48895-9350
Mailing Address - Country:US
Mailing Address - Phone:517-285-0086
Mailing Address - Fax:517-655-2827
Practice Address - Street 1:3938 BEEMAN RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:MI
Practice Address - Zip Code:48895-9350
Practice Address - Country:US
Practice Address - Phone:517-285-0086
Practice Address - Fax:517-655-2827
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist