Individual
ERIC BAUSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
820 QUINCY ST, APT 2, HANCOCK, MI 49930-1933
(906) 483-1831
Mailing address
820 QUINCY ST, APT 2, HANCOCK, MI 49930-1933
(906) 483-1831
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
L2547236
MI
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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