Individual
SPENCER MICHAEL SCHAEFBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATS
Contact information
Practice address
620 N 18TH ST, BISMARCK, ND 58501-4359
(605) 290-1694
Mailing address
620 N 18TH ST, BISMARCK, ND 58501-4359
(605) 290-1694
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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