Individual
MAGGIE ANSTETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4100 LAKE DR SE, SUITE 300, GRAND RAPIDS, MI 49546-8292
(616) 863-6031
Mailing address
4100 LAKE DR SE, SUITE 300, GRAND RAPIDS, MI 49546-8292
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001471
MI
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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