Individual
MR. JUSTIN EDWARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
407 S TELEGRAPH RD, MONROE, MI 48161-1611
(734) 240-1950
Mailing address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001367
MI
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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