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Individual

CHRISTOPHER TODD KIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
1401 PRESQUE ISLE AVE, MARQUETTE, MI 49855-2818
(906) 236-1821
Mailing address
229 OAKRIDGE DR, MARQUETTE, MI 49855-8864
(906) 236-1821

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000551
MI

Other

Enumeration date
09/11/2019
Last updated
09/11/2019
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