Individual
PROF. JOHN WILLIAM SCHRADER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
HSD, LAT, ATC
Contact information
Practice address
1001 E. 17TH STREET, ASSEMBLY HALL, SPORTS MEDICINE DEPARTMENT, BLOOMINGTON, IN 47408
(812) 855-4509
(812) 855-1810
Mailing address
2602 N BROWNCLIFF LN, BLOOMINGTON, IN 47408-1310
(812) 856-4905
(812) 856-2596
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000281A
IN
Other
Enumeration date
09/09/2005
Last updated
07/08/2007
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