Individual
MR. PHILLIP HOWARD ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
320 S MAIN ST, OLIVET, MI 49076-9406
(269) 749-4167
(269) 749-4144
Mailing address
1104 N FAIRVIEW AVE, LANSING, MI 48912-3203
(517) 974-2725
(269) 749-4144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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