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-- MICHAEL BOGENREIF -- L/ATC

Individual Provider (NPI-1) Active

Specialist/Technologist, Athletic Trainer

Provider Information

NPI Number
1194787242
Provider Type
Individual Provider (NPI-1)
Credentials
L/ATC
Status
Active

Contact & Location

Address
3001 22ND ST. S., MOORHEAD, MN, 56560
Phone
(701) 899-1108

Specialties & Taxonomies

Specialist/Technologist, Athletic Trainer Primary License: ND #30305

All Addresses

LOCATION

3001 22ND ST. S.

MOORHEAD, MN, 56560

(701) 899-1108

MAILING

3001 22ND ST. SOUTH

MOORHEAD, MN, 56560

(701) 899-1108