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Individual

MR. GERALD L SCHLEMER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.ED.,ATC, LAT

Contact information

Practice address
SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE, CAMPUS BOX 1129 ATHLETICS, EDWARDSVILLE, IL 62026-0001
(618) 650-2883
(618) 650-3369
Mailing address
634 NOTRE DAME AVE, EDWARDSVILLE, IL 62025-2627
(618) 656-4434

Taxonomy

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

Other

Enumeration date
03/09/2006
Last updated
07/08/2007
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