Individual
GERALD DOUGLAS NEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2900 HANNAH BLVD, SUITE B-102, EAST LANSING, MI 48823-5384
(517) 364-8050
(517) 364-8045
Mailing address
630 MAPLE ST, GRAND LEDGE, MI 48837-1402
(517) 614-8497
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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