Individual
MR. JUSTIN HERSBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
473 E GREENVILLE AVE, WINCHESTER, IN 47394-9436
(176) 558-4000
Mailing address
205 POPLAR DR, ALEXANDRIA, IN 46001-1038
(765) 546-7459
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002327A
IN
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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