Individual
JOSEPH MICHAEL SCHILDWACHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1864 STADIUM RD, 100FLGYM, GAINESVILLE, FL 32611-8205
(352) 392-3261
Mailing address
2101 ALBROOK CT, FALLSTON, MD 21047-1529
(443) 981-0057
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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