Individual
CHRISTIAN HONNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1822 S 4TH ST, AMES, IA 50011-1142
(515) 294-6721
Mailing address
3801 EAGLE NEST DR, MINNETRISTA, MN 55375-1418
(952) 688-8849
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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