Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FREDERICK MCWANE IV, ATC/L
ActiveMR. FREDERICK MCWANE IV, ATC/L is a Athletic Trainer healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1164892972 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1164892972
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2015 (10.82814885373 yrs)
- Last Updated
- Oct 6, 2015
- License
-
1699 (MN)
Practice Information
- Address
-
8100 NORTHLAND DRMINNEAPOLIS, MN, 554314800Browse MN providers · Browse ZIP 55431
- Phone
- 9529770467
- Fax
- 9528065469
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS B SMITH | ATC, PES, CES, CSCS | 1649244807 |
| MR. MICHAEL CHARLES OBERMEIER | ATC | 1699737619 |
| KELLI MARIE HIGHTSHOE | ATC,R | 1598727349 |
| MRS. SHANNON BECKER DOLEZAL | MA, ATC, CSCS | 1578526968 |
| MS. CRYSTAL MARIE DUDLEY | ATC | 1962452268 |
| MS. AMY HAMILTON | MA, ATC | 1316996705 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.