Individual
LAINIE BISBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4001 W MCNICHOLS RD, CALIHAN HALL, DETROIT, MI 48221-3038
(313) 993-1740
(313) 993-1741
Mailing address
4001 W MCNICHOLS RD, CALIHAN HALL, DETROIT, MI 48221-3038
(313) 993-1740
(313) 993-1741
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000767
MI
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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