Individual
MR. MATTHEW JOHN SPIESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
501 W SICKLES ST, SAINT JOHNS, MI 48879-2173
(989) 227-4050
Mailing address
6211 LERNER WAY, LANSING, MI 48911-6004
(260) 226-0009
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000901
MI
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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