Individual
MICHAEL TODD STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
126 CARNEGIE LOOP, MERIDIANVILLE, AL 35759-1647
(256) 651-9226
Mailing address
126 CARNEGIE LOOP, MERIDIANVILLE, AL 35759-1647
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1100
AL
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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