Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Jacob Fredericks

Individual provider Athletic Trainer · NPI 1437690526

Michael Jacob Fredericks is an Athletic Trainer in Ishpeming, Michigan. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

201 S 1st St Apt 1
Ishpeming, MI 49849-2083
Phone: (231) 233-3547
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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 number1437690526
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 9, 2017
Last updated in NPPESMarch 9, 2017
Mailing address201 S 1st St Apt 1, Ishpeming, MI 49849-2083

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