Individual
MR. JOHN PAUL KAM SIU CASUPANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3815 JERREE ST, LANSING, MI 48911-2639
(248) 770-3280
Mailing address
3815 JERREE ST, LANSING, MI 48911-2639
(248) 770-3280
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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