Individual
MRS. DANIELLE MARIE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3101 LEONARD ST NE, GRAND RAPIDS, MI 49525-5832
(616) 862-9605
Mailing address
1015 EASTMONT DR SE, GRAND RAPIDS, MI 49546-3735
(616) 862-9605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000675
MI
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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