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Individual

ANDREW J BIEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
5949 W RAYMOND ST, INDIANAPOLIS, IN 46241-4348
(317) 247-1579
(630) 296-2223
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-3251

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001483A
IN

Other

Enumeration date
01/26/2012
Last updated
01/26/2012
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