Individual
MR. DEREK D SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
123 LANSING ST, REHAB AND WELLNESS, CHARLOTTE, MI 48813-1696
(517) 543-9575
Mailing address
1212 PORTER DR, CHARLOTTE, MI 48813-3103
(517) 281-0114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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