Individual
CHARLA BUXBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1216 ORDEAN CT. SPHC 170, UNIVERSITY OF MINNESOTA DULUTH, DULUTH, MN 55812
(218) 726-6624
Mailing address
1216 ORDEAN CT. SPHC 170, UNIVERSITY OF MINNESOTA DULUTH, DULUTH, MN 55812
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2424
MN
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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