Individual
CRAIG DANIEL MERTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5045 DIVISION AVE # 5575, WHITE BEAR LAKE, MN 55110-2663
(651) 653-2920
Mailing address
5120 EDINBURGH ALCOVE, BIG LAKE, MN 55309-8282
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3382
MN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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