Individual
MR. STEPHEN JAMES NORDWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
799 N. HEWITT ROAD, CONVOCATION CENTER - ATHLETIC DEPARTMENT, YPSILANTI, MI 48197
(734) 487-5183
Mailing address
4213 INVERNESS ST, DEXTER, MI 48130-1460
(734) 904-0711
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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