Individual
MR. MICK VAN KAMINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1100 NEAL ZICK RD, WILLARD, OH 44890-9287
(419) 964-5700
Mailing address
910 ARMSTRONG DR, WILLARD, OH 44890-9152
(567) 224-9534
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003776
OH
Other
Enumeration date
10/26/2010
Last updated
03/14/2013
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