Individual
LESLEY SHULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
110 S MADISON ST, ADRIAN, MI 49221-2518
(517) 264-3168
Mailing address
8421 LOTUS AVE, SKOKIE, IL 60077-2019
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001783
MI
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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