Individual
STEVEN JAMES AHLVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4010 W 65TH ST, EDINA, MN 55435-1706
(651) 210-8696
Mailing address
9815 UPPER 205TH ST W, LAKEVILLE, MN 55044-5934
(651) 210-8696
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1419
MN
Other
Enumeration date
02/16/2006
Last updated
10/10/2012
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