IAN RODERICK MACPHERSON

GOLDEN VALLEY, MN
NPI1629612072
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  3160)
Enumeration Date2019-10-29
Last Update Date2019-10-29
Business Address
IAN RODERICK MACPHERSON ATC, LAT
4200 DAHLBERG DR STE 300
GOLDEN VALLEY, MN 55422-4841
Phone number: 952-512-5625
Mailing Address
IAN RODERICK MACPHERSON ATC, LAT
937 CROMWELL AVE
SAINT PAUL, MN 55114-1121
Phone number: 651-890-2342