Individual
MR. ROGER LEE SCHIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
516 15TH AVE SE, MINNEAPOLIS, MN 55455-0120
(612) 626-8771
(612) 626-7748
Mailing address
1411 THELEN FARM TRL, HOULTON, WI 54082-2062
(715) 549-0030
(715) 549-0060
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1023
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
780612
NATA MEMBERSHIP
MN
Enumeration date
05/12/2006
Last updated
07/08/2007
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