Individual
WILLIAM JASON BURGESS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, AT, ATC, CSCS
Contact information
Practice address
3333 96TH AVE, ZEELAND, MI 49464-9721
(616) 748-3129
(616) 748-3196
Mailing address
3333 96TH AVE, ZEELAND, MI 49464-9721
(616) 748-3129
(616) 748-3196
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001292
MI
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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