Individual
MARISA SIPICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 BOGUE ST, APT 221, EAST LANSING, MI 48823-4875
(630) 202-9758
Mailing address
321 BOGUE ST APT 221, EAST LANSING, MI 48823-4875
(630) 202-9758
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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