Individual
BRAD ALLAN LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
6412 N 8TH ST, WELLS, MI 49894-9735
(906) 450-0475
Mailing address
3401 LUDINGTON ST, ESCANABA, MI 49829-1300
(906) 786-5707
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000332
MI
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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