Individual
MR. ETHAN ANDREW NAYBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT-C
Contact information
Practice address
3905 LEONARD ST, MARNE, MI 49435-9721
(616) 558-2715
Mailing address
3905 LEONARD ST, MARNE, MI 49435-9721
(616) 558-2715
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
03/14/2009
Last updated
06/23/2022
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