Individual
MR. THOMAS BRIAN BIRCHMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2805 E 10TH ST, BLOOMINGTON, IN 47408-2619
(812) 856-4905
Mailing address
3100 E FRANCES RD, CLIO, MI 48420-9778
(810) 938-9622
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001714A
IN
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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