Individual
SEAN DAVID CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2107 N 26TH ST, KALAMAZOO, MI 49048-9217
(812) 361-9398
Mailing address
5851 LARKWOOD CT APT 3A, KALAMAZOO, MI 49048-6654
(812) 361-9398
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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