Individual
JERED STEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7150 25TH ST S, FARGO, ND 58104-7804
(701) 388-7108
Mailing address
7239 42ND ST N, MOORHEAD, MN 56560-7031
(701) 388-7108
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2674
MN
2255A2300X
Athletic Trainer
Primary
694-15
ND
Other
Enumeration date
09/08/2015
Last updated
03/23/2020
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