Individual
DANIEL JANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 LAKE DR SE, GRAND RAPIDS, MI 49546-8292
(616) 267-8860
Mailing address
4100 LAKE DR SE, GRAND RAPIDS, MI 49546-8292
(616) 267-8860
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000942
MI
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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