Individual
MR. MICHAEL VANGILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1038 PROSPECT AVE NW, NEW PHILADELPHIA, OH 44663-1073
(330) 401-9821
(330) 602-7056
Mailing address
1038 PROSPECT AVE NW, NEW PHILADELPHIA, OH 44663-1073
(330) 602-7056
(330) 602-7056
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
07/24/2017
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