Individual
STEPHEN WALTERSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, AT, ATC
Contact information
Practice address
2526 SANDWEDGE LN, PINCKNEY, MI 48169
(734) 474-0610
Mailing address
2526 SANDWEDGE LN, PINCKNEY, MI 48169-9185
(734) 474-0610
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
06/20/2018
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