Anthony Stordalen

NPI #1649659921 in Saint Peter, Minnesota

Provider Information

NPI Number: 1649659921
Entity Type: Individual
Name: Anthony Stordalen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 20, 2015
Last Updated: May 20, 2015

Practice Location

Address: 800 W COLLEGE AVE
City: Saint Peter
State: Minnesota
ZIP Code: 56082-1485
Phone: (507) 621-2037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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