Individual
ANDREW JOHN MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
2090 WOODWINDS DR, WOODBURY, MN 55125-2522
(507) 227-1692
Mailing address
201 GOODRICH AVENUE APT 5, SAINT PAUL, MN 55102
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2251
MN
Other
Enumeration date
11/28/2011
Last updated
12/21/2011
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