Individual
DAVID ROBESON VANZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
19 STEVE YZERMAN DR, DETROIT, MI 48226-4428
(734) 748-4519
Mailing address
19 STEVE YZERMAN DR, DETROIT, MI 48226-4428
(734) 748-4519
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
L470503
MI
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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