KEITH ALLEN WIEDRICH

MOORHEAD, MN
NPI1356378848
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2006-06-28
Last Update Date2007-07-08
Business Address
Mr. KEITH ALLEN WIEDRICH ATC
1107 7TH ST. S. MSU MOORHEAD - ATHLETICS
MOORHEAD, MN 56563
Phone number: 218-477-2626
Mailing Address
Mr. KEITH ALLEN WIEDRICH ATC
1220 7TH ST N
MOORHEAD, MN 56560-1570
Phone number: 218-287-8402
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