JORDAN WOLFGANG MACH

DULUTH, MN
NPI1235790411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-06-27
Last Update Date2019-06-27
Business Address
JORDAN WOLFGANG MACH
1200 KENWOOD AVE
DULUTH, MN 55811-4199
Phone number: 218-723-5967
Mailing Address
JORDAN WOLFGANG MACH
1200 KENWOOD AVE
DULUTH, MN 55811-4199
Phone number: 218-723-5967