Individual
BRANDON JAMES KINZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 N TELEGRAPH RD, MONROE, MI 48162-5139
(734) 242-4866
Mailing address
1515 N TELEGRAPH RD, MONROE, MI 48162-5139
(734) 242-4866
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000179
MI
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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