Individual
MR. RICHARD W. BANCROFT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1000 S STATE ST, ANN ARBOR, MI 48109-2202
(734) 764-0531
(734) 763-8056
Mailing address
6239 HICKORY RIDGE CT, YPSILANTI, MI 48197-9489
(734) 764-0531
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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