Individual
DYLAN FADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4512 N SAGINAW RD APT 233, MIDLAND, MI 48640-2006
(989) 392-9085
Mailing address
4512 N SAGINAW RD APT 233, MIDLAND, MI 48640-2006
(989) 392-9085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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