BLAINE ANTHONY BIRTZER

SAINT PAUL, MN
NPI1003278813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2016-03-22
Last Update Date2020-12-21
Business Address
BLAINE ANTHONY BIRTZER DAT, LAT, ATC
1536 HEWITT AVE
SAINT PAUL, MN 55104-1284
Phone number: 651-523-3094
Mailing Address
BLAINE ANTHONY BIRTZER DAT, LAT, ATC
1360 TERRACE DR APT 208
ROSEVILLE, MN 55113-1774
Phone number: 715-214-3898
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