Individual
MICHAEL JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8100 W 78TH ST STE 225, EDINA, MN 55439-2569
(952) 946-9777
Mailing address
4045 GLACIER LN N, PLYMOUTH, MN 55446-3324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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