Individual
MRS. ANDREA LEE GANSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AT, ATC
Contact information
Practice address
4660 S HAGADORN RD, 420, EAST LANSING, MI 48823-5376
(517) 884-6100
(517) 884-6233
Mailing address
5812 APPLEWOOD, 702, WEST BLOOMFIELD, MI 48322-3474
(231) 510-9932
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000362
MI
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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