Individual
THOMAS WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BALL STATE UNIV, 2000 W. UNIVERSITY AVE., MUNCIE, IN 47306-0270
(765) 285-5039
(765) 285-5610
Mailing address
BALL STATE UNIV, 2000 W. UNIVERSITY AVE., MUNCIE, IN 47306-0270
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000200A
IN
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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