NPI 1073146411

James Walejewski, ATC

Practitioner Athletic Trainer Grand Rapids, MI

Practice location

Address: 4100 Lake Dr SE, Grand Rapids, MI 49546-8292
Phone: (616) 340-2750

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 26010022122 (MI)

Other Specialist/Technologist providers in Michigan →

Registry record

NPI: 1073146411
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2020
Record last updated: 13 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.