Great Lakes Sports Medicine and Concussion Clinic
NPI #1720441728 in Saint Joseph, Michigan
Provider Information
- NPI Number
- 1720441728
- Entity Type
- Organization
- Organization Name
- Great Lakes Sports Medicine and Concussion Clinic
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 29, 2016
- Last Updated
- Mar 29, 2016
Practice Location
- Address
- 3906 STONEGATE PARK STE A
- City
- Saint Joseph
- State
- Michigan
- ZIP Code
- 49085-9145
- Phone
- (269) 408-1644
Authorized Official
- Name
- MR. CHRISTOPHER TRIGGER, M.D
- Title
- OWNER
- Phone
- (269) 408-1644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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