Grant Michael Vickerman
Grant Michael Vickerman is an Athletic Trainer in Big Lake, Minnesota. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
22037 181st St NWBig Lake, MN 55309-8243
Phone: (763) 567-0415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1457821795 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 29, 2018 |
| Last updated in NPPES | November 29, 2018 |
| Mailing address | 22037 181st St Nw, Big Lake, MN 55309-8243 |
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