Individual
MICHAEL LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2900 HANNAH BOULEVARD, SPORTS MEDICINE SUITE B102, EAST LANSING, MI 48823-5374
(517) 881-9359
Mailing address
4590 DONCASTER AVE, HOLT, MI 48842-2000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000798
MI
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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