Individual
PATON MCCOY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 W CIRCLE DR, EAST LANSING, MI 48824-3700
(517) 420-8642
Mailing address
7204 E GRAND RIVER AVE LOT 53, PORTLAND, MI 48875-8763
(517) 420-8642
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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