Keith Allen Wiedrich in Moorhead - Athletic Trainer

Keith Allen Wiedrich - NPI 1356378848

Keith Allen Wiedrich is a Athletic Trainer in Moorhead, Minnesota. Keith Allen Wiedrich practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Keith Allen Wiedrich is 1356378848. The last update date is 2007-07-08.

Keith Allen Wiedrich's current location address is 1107 7th St. S., Moorhead, Minnesota. You can contact this provider via phone number 2184772626 and fax number 2184775943. The mailing address for Keith Allen Wiedrich is 1107 7th St. S., Moorhead, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Allen Wiedrich
Address 1107 7th St. S., Moorhead, Minnesota
Phone Number 2184772626
Fax Number 2184775943
Sole Proprietor N
Credentials ATC

NPI Number Detail

NPI Number 1356378848
Provider Enumeration Date 2006-06-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1107 7th St. S.
City Moorhead
State Minnesota (MN)
Post Code 565630
Phone Number 2184772626
Fax Number 2184775943

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

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FAQs about Keith Allen Wiedrich

What is the unique 10-digit identification code assigned to Keith Allen Wiedrich by the Centers for Medicare & Medicaid Services?

The Keith Allen Wiedrich has been issued the NPI (National Provider Identifier) 1356378848, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Keith Allen Wiedrich is physically located?

The Keith Allen Wiedrich is situated at the following address: 1107 7Th St. S., Moorhead, MN 565630.

What is Keith Allen Wiedrich's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Keith Allen Wiedrich is Athletic Trainer, and the taxonomy code that classifies this field of practice is 2255A2300X.

On what date did the Keith Allen Wiedrich receive its 1356378848 assignment from the Centers for Medicare & Medicaid Services?

The Keith Allen Wiedrich was assigned its 1356378848 by the Centers for Medicare & Medicaid Services on 2006-06-28.

As of what date were the details pertaining to Keith Allen Wiedrich last refreshed?

The information related to the Keith Allen Wiedrich, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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