Individual
MADISON NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 KALAMAZOO ST, EAST LANSING, MI 48824-5400
(517) 355-1627
Mailing address
72231 6TH AVE, SOUTH HAVEN, MI 49090-9138
(269) 929-6931
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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