Individual
ANTHONY STORDALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W COLLEGE AVE, SAINT PETER, MN 56082-1485
(507) 621-2037
Mailing address
33979 725TH AVE, SAINT JAMES, MN 56081-5500
(507) 621-2037
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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