Individual
MR. MICHAEL W WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2800 PIERCE ST STE 102, SIOUX CITY, IA 51104-3707
(712) 253-0990
(712) 255-9490
Mailing address
32 DEER RUN CIR, NORTH SIOUX CITY, SD 57049-4082
(712) 253-0990
(712) 255-9490
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00017
IA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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