Individual
MR. MICHAEL J MILLWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
20 MORRIS RD, SHELBY, OH 44875-1152
(419) 342-1724
Mailing address
1771 CRANBERRY CT, MANSFIELD, OH 44905-2303
(419) 342-5065
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.002760
OH
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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