PETER MARTIN STOLL

SPRINGFIELD, IL
NPI1205181906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.000201)
Enumeration Date2012-07-18
Last Update Date2012-07-18
Business Address
Mr. PETER MARTIN STOLL LAT, EMT-B
3631 S 6TH ST SUITE B
SPRINGFIELD, IL 62703-4777
Phone number: 217-744-7529
Mailing Address
Mr. PETER MARTIN STOLL LAT, EMT-B
3631 S 6TH ST SUITE B
SPRINGFIELD, IL 62703-4777
Phone number: 217-744-7529