Individual
MICHELE DUMMETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 993-0250
Mailing address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2528
MN
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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