Individual
DR. NOAH JON WASIELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
400 E 2ND ST, BLOOMSBURG UNIVERSITY, BLOOMSBURG, PA 17815-1301
(570) 389-4781
Mailing address
400 E 2ND ST, BLOOMSBURG UNIVERSITY, BLOOMSBURG, PA 17815-1301
(570) 389-4781
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001353
PA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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