Individual
BENJAMIN FODDRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7380 CLEARVIEW DR, CALEDONIA, MI 49316-9309
(517) 420-6433
Mailing address
7380 CLEARVIEW DR, CALEDONIA, MI 49316-9309
(517) 420-6433
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002518
MI
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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