Individual
MR. JON R. ISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, ATC, LAT, PES,
Contact information
Practice address
6 CHAMPIONSHIP DR, AUBURN HILLS, MI 48326-1753
(281) 841-3779
Mailing address
6 CHAMPIONSHIP DR, AUBURN HILLS, MI 48326-1753
(281) 841-3779
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2149
TX
Other
Enumeration date
03/13/2007
Last updated
08/20/2014
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