Individual
MR. DONALD JON MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT,ATC
Contact information
Practice address
1330 NIGHTINGALE ST, DEARBORN, MI 48128-1007
(313) 400-0213
Mailing address
1330 NIGHTINGALE ST, DEARBORN, MI 48128-1007
(313) 400-0213
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003153-1
NY
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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