Individual
ANDREW THOMAS LOSSIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 HIGHLAND CTR, MANKATO, MN 56001-6537
(507) 389-6313
Mailing address
700 MICKELSON TRL, MANKATO, MN 56001-1503
(612) 716-3764
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80223777602
PREFERRED ONE
MN
Enumeration date
01/14/2019
Last updated
01/14/2019
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