Individual
CHRISTOPHER RYAN HEMINOVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC/R
Contact information
Practice address
1604 1ST ST S, WILLMAR, MN 56201-4243
(507) 380-1084
Mailing address
1604 1ST ST S, WILLMAR, MN 56201-4243
(507) 380-1084
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1786
MN
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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