Individual
DOMINIC MICHAEL WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
802 W GENESEE ST, LANSING, MI 48915-1841
(517) 505-8033
Mailing address
802 W GENESEE ST, LANSING, MI 48915-1841
(517) 505-8033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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