Grant Michael Vickerman

NPI #1457821795 in Big Lake, Minnesota

Provider Information

NPI Number
1457821795
Entity Type
Individual
Name
Grant Michael Vickerman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Nov 29, 2018
Last Updated
Nov 29, 2018

Practice Location

Address
22037 181ST ST NW
ZIP Code
55309-8243
Phone
(763) 567-0415

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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