Individual
PROF. JOHN W. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
105 IM CIRCLE, EAST LANSING, MI 48824-1020
(517) 432-5018
Mailing address
6461 PLEASANT RIVER DR, DIMONDALE, MI 48821-9707
(517) 646-6310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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