Organization
SAGINAW VALLEY SPORT AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LOUISE DELOSSANTOS ATCMS (ATHLETIC TRAINER)
(989) 245-6056
Entity
Organization
Contact information
Practice address
130 CAMELOT DR, APT. A10, SAGINAW, MI 48638-6457
(989) 245-6056
Mailing address
130 CAMELOT DR, APT. A10, SAGINAW, MI 48638-6457
(989) 245-6056
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
03/11/2007
Last updated
08/22/2020
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