Individual
JACOB MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
801 MACARTHUR BLVD, MUNSTER, IN 46321-2915
(219) 836-4461
Mailing address
3501 41ST ST, HIGHLAND, IN 46322-2812
(219) 455-8585
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001322
MI
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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