Individual
MR. WILLIAM MICHAEL KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1325 HULL RD, SANDUSKY, OH 44870-6062
(419) 626-4162
(419) 626-7021
Mailing address
10800 CHURCH RD, HURON, OH 44839-9591
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000226
OH
Other
Enumeration date
10/11/2005
Last updated
07/03/2008
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