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Individual

MR. MATTHEW JON RANKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
2100 WOODWARD AVE, DETROIT, MI 48201-3470
(419) 304-0485
Mailing address
2100 WOODWARD AVE, DETROIT, MI 48201-3470
(419) 304-0485

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000422
MI
2255A2300X
Athletic Trainer
AL.2968
FL
2255A2300X
Athletic Trainer
AT1032
OH

Other

Enumeration date
01/26/2012
Last updated
07/18/2016
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