Individual provider · Type 1 NPI
Quintin Smidzik
Student in an Organized Health Care Education/Training Program · Ames, IA
NPI number
1376905679
Active
Practice location
Bergstrom Football Complex
Ames, IA 50011-0001
Mailing address
1201 Dayton Ave
St. Paul, MN 55104-6404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1376905679
Quintin Smidzik's National Provider Identifier is 1376905679, issued on Mar 25, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ames, IA. The record was last updated on Mar 25, 2016.