Individual
DANIEL RAYMOND WALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, AT, ATC
Contact information
Practice address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(269) 276-3319
Mailing address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001506
MI
Other
Enumeration date
01/06/2017
Last updated
01/08/2017
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