Individual
STEVE RETAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 HOUSEMAN AVE NE, GRAND RAPIDS, MI 49505-5212
(616) 540-4809
Mailing address
1410 HOUSEMAN AVE NE, GRAND RAPIDS, MI 49505-5212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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