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Individual

DAVID L HOLTZSCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1900 E LAKE SHORE DR, SUITE 150, DECATUR, IL 62521-3824
(217) 428-6222
Mailing address
57 MEDIAL DR, DECATUR, IL 62521-5253
(217) 369-0493

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
IL

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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