Individual
BENJAMIN MCNEILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12789 S TALLMAN RD, EAGLE, MI 48822-9746
(517) 526-2890
Mailing address
12789 S TALLMAN RD, EAGLE, MI 48822-9746
(517) 526-2890
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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