Individual
MARK CHIPAWNEE-ALLEN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1961 DELTA COLLEGE RD, UNIVERSITY CENTER, MI 48710-0001
(989) 686-9331
Mailing address
1961 DELTA COLLEGE RD, UNIVERSITY CENTER, MI 48710-0001
(989) 686-9000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002033
MI
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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