Individual
CHARLES T MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 W CIRCLE DR, EAST LANSING, MI 48824-3700
(309) 825-5070
Mailing address
11 STRAWBERRY RD, BLOOMINGTON, IL 61704-2833
(309) 825-5070
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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