Individual
MR. LEVI TANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
101 3RD AVE SW, SUITE 101, MINOT, ND 58701-3880
(701) 857-5500
(701) 857-3694
Mailing address
101 3RD AVE SW, SUITE 101, MINOT, ND 58701-3880
(701) 857-5500
(701) 857-3694
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
360-09
ND
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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