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Individual

BRYAN MICHAEL VORACEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA, ATC

Contact information

Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1614
MN
363AM0700X
Medical Physician Assistant
Primary
10891
MN

Other

Enumeration date
03/21/2006
Last updated
05/09/2025
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