Individual
ALEX T COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5901 HALL ST SE, GRAND RAPIDS, MI 49546-3849
(616) 970-3336
Mailing address
7865 GOLF MEADOWS DR SE, CALEDONIA, MI 49316-8071
(616) 970-3336
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002764
MI
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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