Individual
IVAN WILHELM ASIKAINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 MOHEGAN AVE, NEW LONDON, CT 06320-4150
(860) 439-2086
Mailing address
10 WALKER DR, EASTFORD, CT 06242-9710
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
09/17/2024
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