Individual
TROY J BLASIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
514 BARLOW ST, TRAVERSE CITY, MI 49686-2780
(989) 619-2004
Mailing address
514 BARLOW ST, TRAVERSE CITY, MI 49686-2780
(989) 619-2004
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2079866
MI
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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