Individual
ANDERS LINDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MATRG, ATC, CKTP
Contact information
Practice address
7150 25TH ST S, FARGO, ND 58104-7804
(701) 446-5777
Mailing address
3525 2ND ST N, FARGO, ND 58102-1184
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
737-16
ND
Other
Enumeration date
02/25/2017
Last updated
02/25/2017
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