Individual
CHRISTIAN HOWARD OELTJEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 VALLEY VIEW RD, LAKE CITY, MN 55041-2127
(507) 269-9026
Mailing address
803 VALLEY VIEW RD, LAKE CITY, MN 55041-2127
(507) 269-9026
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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