John Wismer Mcdougall in Traverse City - Athletic Trainer
John Wismer Mcdougall - NPI 1811018930
John Wismer Mcdougall is a Athletic Trainer in Traverse City, Michigan. John Wismer Mcdougall practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for John Wismer Mcdougall is 1811018930. The last update date is 2007-07-08.
John Wismer Mcdougall's current location address is 3633 Apollo Dr, Traverse City, Michigan. You can contact this provider via phone number 2319358653 and fax number 2319358609. The mailing address for John Wismer Mcdougall is 3633 Apollo Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Wismer Mcdougall |
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Address | 3633 Apollo Dr, Traverse City, Michigan |
Phone Number | 2319358653 |
Fax Number | 2319358609 |
Sole Proprietor | Y |
Credentials | A.T.,C |
NPI Number Detail
NPI Number | 1811018930 |
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Provider Enumeration Date | 2007-04-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3633 Apollo Dr |
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City | Traverse City |
State | Michigan (MI) |
Post Code | 496848711 |
Phone Number | 2319358653 |
Fax Number | 2319358609 |
Provider's Primary Taxonomy Detail
Speciality | Athletic Trainer |
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Taxonomy | 2255A2300X |
Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identification code assigned to John Wismer Mcdougall by the Centers for Medicare & Medicaid Services?
The John Wismer Mcdougall has been issued the NPI (National Provider Identifier) 1811018930, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the John Wismer Mcdougall located?
The John Wismer Mcdougall is located at 3633 Apollo Dr, Traverse City, MI 496848711.
What is the area of specialization for John Wismer Mcdougall, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Wismer Mcdougall is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of expertise is 2255A2300X.
On what date did John Wismer Mcdougall receive its 1811018930 assignment from the Centers for Medicare & Medicaid Services?
The John Wismer Mcdougall was assigned its 1811018930 on 2007-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding John Wismer Mcdougall most recently updated?
The details pertaining to the John Wismer Mcdougall, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.