MR. Brant Michael Boekelman, ATC

NPI #1871852335 in Fairmont, Minnesota

Provider Information

NPI Number
1871852335
Entity Type
Individual
Name
MR. Brant Michael Boekelman, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
May 3, 2012
Last Updated
May 3, 2012

Practice Location

Address
717 S STATE ST
ZIP Code
56031-4469
Phone
(507) 238-4949

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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