Individual
BRENT VOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
530 CEDAR RIDGE DR NW APT 3A, GRAND RAPIDS, MI 49544-8512
(616) 893-8786
Mailing address
530 CEDAR RIDGE DR NW APT 3A, GRAND RAPIDS, MI 49544-8512
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001059
MI
Other
Enumeration date
01/04/2014
Last updated
01/04/2014
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