Individual
MR. MATTHEW TOMAS LUNDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
N8027 ELSER DR, BEAVER DAM, WI 53916-9702
(937) 654-7680
Mailing address
N8027 ELSER DR, BEAVER DAM, WI 53916-9702
(937) 654-7680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2226-39
WI
Other
Enumeration date
07/01/2006
Last updated
07/21/2021
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