Individual
MR. MAX PAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 448-9081
Mailing address
11829 HARVEST LN, APT 22, EDEN PRAIRIE, MN 55347-4322
(507) 766-1855
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2406
MN
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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