Individual
MR. TIMOTHY W. NURRENBERN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.A.T., A.,T.C.
Contact information
Practice address
RR 2 BOX 813, HAUBSTADT, IN 47639-9533
(812) 868-1047
Mailing address
RR 2 BOX 813, HAUBSTADT, IN 47639-9533
(812) 868-1047
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000091A
IN
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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