Individual
NICHOLAS SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DAT LAT ATC
Contact information
Practice address
9042 COLUMBIA AVE, MUNSTER, IN 46321-2927
(219) 836-4461
Mailing address
10163 OLCOTT AVE, SAINT JOHN, IN 46373-9539
(219) 798-6850
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002615A
IN
Other
Enumeration date
04/24/2015
Last updated
07/23/2019
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