Individual
JASON M SLIVNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
111 17TH AVE E STE 101, ALEXANDRIA, MN 56308-3734
(320) 762-1144
Mailing address
6601 COUNTY ROAD 5, RICE, MN 56367-9548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2386
MN
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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