Individual
MR. MICHAEL HOWK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46808
(260) 266-4007
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003008A
IN
Other
Enumeration date
03/08/2016
Last updated
09/18/2020
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