Individual
MR. MARK DANIEL GROTZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PES
Contact information
Practice address
KENNETH LANGONE SPORTS MEDICINE CENTER, ONE DENT DR., LEWISBURG, PA 17837
(814) 418-0514
Mailing address
104 HAWTHORNE DR, LEWISBURG, PA 17837-6659
(814) 418-0514
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003823
PA
Other
Enumeration date
11/20/2006
Last updated
09/19/2019
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