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Individual

MR. MICHAEL JEROME MEHRING JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC

Contact information

Practice address
4130 DUTCHMANS LN, SUITE 100, LOUISVILLE, KY 40207-4713
(502) 897-1790
Mailing address
616 HARRIS PL, LOUISVILLE, KY 40222-6706
(502) 897-1790

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TCA08
KY

Other

Enumeration date
05/18/2007
Last updated
07/08/2007
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