Michael Jacob Fredericks
Michael Jacob Fredericks is an Athletic Trainer in Ishpeming, Michigan. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
201 S 1st St Apt 1Ishpeming, MI 49849-2083
Phone: (231) 233-3547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1437690526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2017 |
| Last updated in NPPES | March 9, 2017 |
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