Organization
CENTRAL MICHIGAN UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L JONES AT, ATC (ASSOCIATE ATHLETIC TRAINER)
(989) 774-6687
Entity
Organization
Contact information
Practice address
203 E BROOMFIELD, ROSE 145, MT PLEASANT, MI 48859-0001
(989) 774-6687
(989) 774-1095
Mailing address
1617 FESSENDEN AVE, MT PLEASANT, MI 48858-2137
(989) 774-6687
(989) 774-1095
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
2601000874
MI
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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