MRS. Martha Sue Vaneenenaam-Iwanicki, ATC

NPI #1316095342 in Fraser, Michigan

Provider Information

NPI Number
1316095342
Entity Type
Individual
Name
MRS. Martha Sue Vaneenenaam-Iwanicki, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Jan 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
FRASER HIGH SCHOOL
Address 2
34270 GARFIELD
City
Fraser
ZIP Code
48026
Phone
(586) 879-2398

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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