Organization
MINNESOTA STATE COLLEGE AND UNIVERSITIES
Active
Parent organization
MINNESOTA STATE COLLEGES AND UNIVERSITIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA STATE COLLEGES AND UNIVERSITIES
Authorized official
MR. RICHARD JOHN STRAKA MBA, CPA (EXECUTIVE) (VP FOR FINANCE & ADMIN)
(507) 389-6621
Entity
Organization
Contact information
Practice address
135 MYERS FIELD HOUSE, MANKATO, MN 56001
(507) 389-5461
(507) 389-5352
Mailing address
135 MYERS FIELD HOUSE, MANKATO, MN 56001
(507) 389-5461
(507) 389-5352
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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