Individual
JONATHAN ROBERT HALSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
688 FOXWORTH ST, DUNDEE, MI 48131-9403
(517) 795-9355
Mailing address
688 FOXWORTH ST, DUNDEE, MI 48131-9403
(517) 795-9355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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