Individual
ZEBULON JOHN BROERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
222 FAIRBANKS AVE, HOLLAND, MI 49423-3735
(231) 878-2787
Mailing address
11408 E 50 RD, CADILLAC, MI 49601-9525
(231) 878-2787
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2017
Last updated
10/10/2019
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