Individual
MR. SCOTT MICHAEL BUDDELMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, EMT-B
Contact information
Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 783-2791
Mailing address
422 JOHN ST, HOLGATE, OH 43527-9806
(419) 264-0339
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
022051
OH
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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