Individual
MR. NATHAN TWEDT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1009 UNION ST, VALPARAISO, IN 46383-4529
(219) 262-5236
Mailing address
3803 BLOOMINGDALE AVE, VALPARAISO, IN 46383-1907
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001178A
IN
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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