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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IAN RODERICK MACPHERSON, ATC, LAT

Active

IAN RODERICK MACPHERSON, ATC, LAT is a Athletic Trainer healthcare provider located in GOLDEN VALLEY, Minnesota. NPI 1629612072 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · GOLDEN VALLEY, MN

Registration Details

NPI Number
1629612072
Provider Type
Individual
Gender
Male
NPI Issued
Oct 29, 2019 (6.749774874325 yrs)
Last Updated
Oct 29, 2019
License
3160 (MN)

Practice Information

Address
4200 DAHLBERG DR STE 300
GOLDEN VALLEY, MN, 554224841
Browse MN providers · Browse ZIP 55422
Phone
9525125625
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in GOLDEN VALLEY, MN

Name Credential NPI
MR. JOHN M LAROTONDA III ATC 1275754723
STUART BORNE MED, ATC, CSCS 1659646560
ALYXANDRA SUSAN TESKE A.T.C., A.T.R. 1073940672
MR. STEVE MARTI 1184043531
KAITLIN JULIA DOYLE BA, ATC 1821584277
DIANA D BOCKLUND MS, LAT, ATC, FF/EMT 1588138051
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.