Individual
MR. MICHAEL S. DEKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
184 ROUTE 7 S, MILTON, VT 05468-3602
(802) 893-7427
(802) 893-7429
Mailing address
PO BOX 776, MILTON, VT 05468-0776
(802) 893-7427
(802) 893-7429
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0070577
VT
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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