Individual
SHANE SIGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
69738 310TH ST, CLINTON, MN 56225-2058
(320) 305-1460
Mailing address
69738 310TH ST, CLINTON, MN 56225-2058
(320) 305-1460
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000023848
BOARD OF CERTIFICATION
MN
Enumeration date
05/25/2016
Last updated
05/25/2016
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