Individual
MR. JEFFREY DIEHL WINSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
1901 4TH ST SE, MINNEAPOLIS, MN 55455-2004
(612) 626-4499
Mailing address
1901 4TH STREET S.E., MINNEAPOLIS, MN 55455
(612) 626-4499
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2060
MN
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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