Clint Verran Sports Medicine, Inc

NPI 1013033604 - Physical Therapist - 225100000X

NPI Details
NPI 1013033604
Enumeration Date 03/22/2007
Last Updated 12/05/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CLINT CLINT
Position OWNER
Phone (248) 693-9411
Fax (248) 693-9412
Practice Location
1261 S LAPEER RD
SUTIE 102
LAKE ORION MI, 48360-1419, US
Phone (248) 693-9411
Fax (248) 693-9412
Business Location
1261 S LAPEER RD
SUITE 102
LAKE ORION MI, 48360-1419, US
Phone (248) 693-9411
Fax (248) 693-9412
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501010788
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According to our database, Clint Verran Sports Medicine, Inc NPI is 1013033604, taxonomy code is 225100000X and license number is 5501010788, license state is located at Michigan. Clint Verran Sports Medicine, Inc physically located at 1261 S Lapeer Rd, Lake Orion MI, 48360-1419. NPI Number 1033115704 has the healthcare provider type.

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1013033604 NPI number is provided on an as is basis without warranty of any kind. 1013033604 is maintained by the National Plan & Provider Enumeration System. The contents of Clint Verran Sports Medicine, Inc are for informational purposes only.