Individual
MR. BRETT TYLER DEVEREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4000 WHITING DR, MIDLAND, MI 48640-6634
(989) 837-5894
(989) 837-4813
Mailing address
414 N SAGINAW RD, MIDLAND, MI 48640-3395
(517) 936-9239
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
L480722
MI
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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