Individual
ALEXANDER SCOTT GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, AT
Contact information
Practice address
100 EDGEWOOD DR, MARQUETTE, MI 49855-9229
(906) 360-9869
Mailing address
100 EDGEWOOD DR, MARQUETTE, MI 49855-9229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2017
Last updated
06/21/2021
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