Organization
SAGINAW VALLEY SPORT AND SPINE
Active
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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