Individual
MR. BEN CHRISTIAN KASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1018 N 20TH ST, SUPERIOR, WI 54880-6705
(651) 285-7105
Mailing address
1018 N 20TH ST, SUPERIOR, WI 54880-6705
(651) 285-7105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/12/2017
Last updated
11/12/2017
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