Individual
MR. JONATHAN ISHAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 S SAGINAW ST, FLINT, MI 48507-2676
(810) 235-8544
Mailing address
1208 PINEHURST LN, GRAND BLANC, MI 48439-2600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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