Individual
JUSTIN MICHAEL PIERZCHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Mailing address
6159 VIEWPOINT DR NE, BELMONT, MI 49306-9484
(316) 644-6865
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002077
MI
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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