Individual
PATRICK SPIELDENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1001 E 17TH ST, BLOOMINGTON, IN 47408-1590
(812) 855-7155
Mailing address
4111 W DRESDEN DR, BLOOMINGTON, IN 47404-8404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002035A
IN
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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