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Individual

MR. MICHAEL JAMES HADDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT ATC

Contact information

Practice address
SIMPSON COLLEGE, 701 NORTH C STREET, INDIANOLA, IA 50125
(515) 961-1751
(515) 961-1279
Mailing address
905 SR ST, #41, INDIANOLA, IA 50125-3515
(515) 962-1307

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00197
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00197
STATE LICENSE
IA
Enumeration date
06/12/2007
Last updated
07/08/2007
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