Individual
MR. JOHN WISMER MCDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.,C
Contact information
Practice address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 935-8653
(231) 935-8609
Mailing address
3633 APOLLO DR, TRAVERSE CITY, MI 49684-8711
(231) 935-8653
(231) 935-8609
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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