Individual
JUSTIN CHEROCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8200 IRVING RD, STERLING HEIGHTS, MI 48312-4621
(586) 434-5260
Mailing address
8200 IRVING RD, STERLING HEIGHTS, MI 48312-4621
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
860720
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
860720
ATHLETIC TRAINER
MI
Enumeration date
05/26/2017
Last updated
05/26/2017
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