Individual
ABBIE MIEDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
109 E 23RD ST, HOLLAND, MI 49423-4816
(616) 350-8470
Mailing address
7484 SLEEPY HOLLOW DR, HUDSONVILLE, MI 49426-9162
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2015
Last updated
07/10/2019
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