Individual
DANIEL MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 WILLIAMS ST., ADRIAN, MI 49221
(734) 516-1487
Mailing address
1325 WILLIAMS ST, ADRIAN, MI 49221-2563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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