Individual
RYAN TIMOTHY GIBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7400 BAY RD, UNIVERSITY CENTER, MI 48710-0001
(989) 964-2546
Mailing address
3835 CABARET TRL W, APT #8, SAGINAW, MI 48603-2221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/23/2013
Last updated
01/18/2015
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