Individual
MR. CHRISTIAN MICHAEL MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 HAYES RD, SCHUYLERVILLE, NY 12871-1836
(518) 650-5163
Mailing address
129 HAYES RD, SCHUYLERVILLE, NY 12871-1836
(518) 650-5163
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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