NPI 1013336460
David Bloomquist, ATC
Practice location
- Address
- 4010 W 65th St, Edina, MN 55435-1706
- Phone
- (320) 212-3992
- Mailing address
- 8938 80th St NE, Spicer, MN 56288-9349
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1013336460
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Apr 2014
- Record last updated
- 14 Apr 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.