Individual
MARCUS MOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
71308 310TH ST, CLINTON, MN 56225-2062
(320) 305-1085
Mailing address
71308 310TH ST, CLINTON, MN 56225-2062
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0477
SD
2255A2300X
Athletic Trainer
Primary
2647
MN
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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