Individual
JOHN PAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 E 17TH ST, BLOOMINGTON, IN 47408-1590
(219) 577-3726
Mailing address
717 OAK BROOK DR, HEBRON, IN 46341-9603
(219) 577-3726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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