Individual
MR. EVAN DANIEL BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
715 RICHLAND MALL, ONTARIO, OH 44906-3802
(567) 307-7557
Mailing address
1575 STATE ROUTE 96, ASHLAND, OH 44805-9262
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006256
OH
Other
Enumeration date
07/08/2024
Last updated
12/18/2024
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