Individual
SAMANTHA GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S STATE ST, ANN ARBOR, MI 48109-1382
(734) 645-9515
Mailing address
500 S STATE ST, ANN ARBOR, MI 48109-1382
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001293
MI
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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