Individual
RICHARD BERNARD CHIAMULERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 PRESQUE ISLE AVE, MARQUETTE, MI 49855-5305
(906) 227-2130
Mailing address
124 CREST AVE, ELK GROVE VILLAGE, IL 60007-1732
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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