Individual
ALEXANDER VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 ROSE CENTER, MOUNT PLEASANT, MI 48859-1140
(989) 774-3879
Mailing address
100 ROSE CENTER, MOUNT PLEASANT, MI 48859-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
074316
IA
2255A2300X
Athletic Trainer
Primary
2601001804
MI
Other
Enumeration date
03/31/2015
Last updated
04/09/2020
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