Mark Mammen

NPI #1558800250 in Champaign, Illinois

Provider Information

NPI Number
1558800250
Entity Type
Individual
Name
Mark Mammen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Feb 15, 2017
Last Updated
Feb 15, 2017

Practice Location

Address
1806 N MARKET ST
ZIP Code
61822-1312
Phone
(217) 356-4920

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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