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Individual

DR. MIKE RALPH SITLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EDD, ATC, FNATA

Contact information

Practice address
1800 N BROAD ST, PHILADELPHIA, PA 19121-3302
(215) 204-1950
Mailing address
161 SUNSET DR, RICHBORO, PA 18954-1857
(215) 953-0848

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000632B
PA

Other

Enumeration date
09/07/2017
Last updated
09/07/2017
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