Individual
MAXWELL TAYLOR CERNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 9TH AVE S APT 103, SAINT CLOUD, MN 56301-5566
(608) 769-5252
Mailing address
1120 9TH AVE S APT 103, SAINT CLOUD, MN 56301-5566
(608) 769-5252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3070
MN
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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