Individual
MR. STEVEN BRADLEY WESTERENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2751 2ND AVE N HYSLOP SPORTS CENTER RM 115, UNIVERSITY OF NORTH DAKOTA, GRAND FORKS, ND 58202-9013
(701) 777-3886
(701) 777-2536
Mailing address
5255 8TH AVE N, GRAND FORKS, ND 58203-1880
(701) 746-4147
(701) 777-2536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
204-99
ND
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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