Individual
MARLENE K VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 HEALTH PROFESSION BUILDING, MT PLEASANT, MI 48859-0001
(989) 774-3301
Mailing address
1203 HEALTH PROFESSION BUILDING, MT PLEASANT, MI 48859-0001
(989) 774-3301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000791
MI
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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