Individual
MADELIN ROSE WILLERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
6230 KALAMAZOO AVE SE, KENTWOOD, MI 49508-7022
(616) 698-6700
Mailing address
2591 44TH ST SE STE 101, GRAND RAPIDS, MI 49512-9094
(616) 281-9237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002253
MI
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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