Individual
TONY CHRISTOPHER HANECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, ATC, CSCS
Contact information
Practice address
1840 15TH AVE S, FARGO, ND 58103-3824
(701) 446-2049
Mailing address
3022 34TH ST S, MOORHEAD, MN 56560-6937
(218) 359-0723
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
295-04
ND
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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