Individual
NICHOLAS HARTWIGSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(952) 221-4744
Mailing address
765 ALFA CT APT 2B, PORTAGE, MI 49002-2981
(952) 221-4744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001570
MI
Other
Enumeration date
10/13/2016
Last updated
02/13/2018
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