Individual
THOMAS SCOTT BOIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2280 45TH ST SW, WILLMAR, MN 56201-9426
(320) 894-0060
Mailing address
2280 45TH ST SW, WILLMAR, MN 56201-9426
(320) 894-0060
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
H148001293613
MN
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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