Individual
MR. TROY DAVID BANSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
800 W COLLEGE AVE, SAINT PETER, MN 56082-1485
(507) 933-6463
Mailing address
800 W COLLEGE AVE, SAINT PETER, MN 56082-1485
(507) 933-6463
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1769
MN
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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