Individual
JOSHUA KORNOELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
428 BRIDGE ST NW, GRAND RAPIDS, MI 49504-5322
(616) 451-4284
(616) 451-4811
Mailing address
428 BRIDGE ST NW, GRAND RAPIDS, MI 49504-5322
(616) 451-4284
(616) 451-4811
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000233
MI
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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