Individual
MICHAEL ALFONSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
4949 COOLIDGE HWY, ROYAL OAK, MI 48073-1026
(586) 212-7246
Mailing address
427 WHITNEY DR, ROCHESTER HILLS, MI 48307-2861
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001695
MI
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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