Individual
MICHAEL ADERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
S DAKOTA STATE UNIVERSITY, 2820 HPER CENTER, BROOKINGS, SD 57007-1497
(605) 688-4003
Mailing address
S DAKOTA STATE UNIVERSITY, 2820 HPER CENTER, BROOKINGS, SD 57007-1497
(605) 688-4003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0001259
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0482
SDBMOE
SD
01
—
2000013908
BOC
—
Enumeration date
03/09/2015
Last updated
08/01/2015
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