Individual
BRANDON KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5417 STONECREEK TRL, FORT WAYNE, IN 46825-5964
(260) 494-6206
Mailing address
5417 STONECREEK TRL, FORT WAYNE, IN 46825-5964
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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