Individual
MR. MICHAEL PATRICK VANNOSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
505 IRVING AVE, SYRACUSE, NY 13210-1718
(315) 464-9966
Mailing address
104 CANDLEWOOD GDNS, BALDWINSVILLE, NY 13027-2646
(518) 332-5752
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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