Individual
ISABELLA KIRCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20097 FAIRWAY DR, GROSSE POINTE WOODS, MI 48236-2436
(313) 806-6562
Mailing address
20097 FAIRWAY DR, GROSSE POINTE WOODS, MI 48236-2436
(313) 806-6562
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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