Individual
MELISSA VINCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
21051 21 MILE RD, MACOMB, MI 48044-2909
(586) 723-2806
Mailing address
4374 CHESANING RD, CHESANING, MI 48616-8422
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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