Individual
MR. THOMAS KIETH NOOYEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
403 EAST 3RD ST., DULUTH, MN 55805
(218) 786-5410
Mailing address
5636 RICE LAKE RD, DULUTH, MN 55803-9411
(218) 590-1056
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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