Individual
BRANDON JANIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26322 15TH ST, MINNESOTA LAKE, MN 56068-2302
(507) 995-7653
Mailing address
26322 15TH ST, MINNESOTA LAKE, MN 56068-2302
(507) 995-7653
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/21/2016
Last updated
06/15/2016
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