Individual
MR. KEVIN L. BLOSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ATC
Contact information
Practice address
5483 GRATIOT RD, SAGINAW, MI 48638-6037
(989) 799-5557
(989) 799-2840
Mailing address
1437 KINGSTON DR, SAGINAW, MI 48638-5478
(989) 799-9744
(989) 799-2840
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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