Individual
WADE HEBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
7 S 8TH ST, CLEAR LAKE, IA 50428-1927
(641) 357-1003
Mailing address
7 S 8TH ST, CLEAR LAKE, IA 50428-1927
(641) 357-1003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
083445
IA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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