Individual
MR. MICHAEL CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, NASM-PES
Contact information
Practice address
5101 JOHN C LODGE FWY, 101 MATTHAEI BUILDING, DETROIT, MI 48202-3327
(313) 577-5833
(313) 577-1012
Mailing address
5101 JOHN C LODGE FWY, 101 MATTHAEI BUILDING, DETROIT, MI 48202-3327
(313) 577-5833
(313) 577-1012
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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