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Individual

ALEC EDWARD WEIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LAT, ATC, CSCS

Contact information

Practice address
6025 109TH AVE N, CHAMPLIN, MN 55316-3475
(763) 478-1360
Mailing address
2230 ARTHUR ST NE, MINNEAPOLIS, MN 55418-3911
(763) 478-1360

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3411
MN

Other

Enumeration date
07/22/2018
Last updated
04/03/2023
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