Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Martha Sue Vaneenenaam-Iwanicki, ATC

Individual provider Athletic Trainer · NPI 1316095342

Mrs. Martha Sue Vaneenenaam-Iwanicki, ATC is an Athletic Trainer in Fraser, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Partly verified

Some contact details are missing from the federal record.

Fraser High School 34270 Garfield
Fraser, MI 48026
Phone: (586) 879-2398
Fax: (586) 415-1079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (MI)

Record details

NPI number1316095342
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 8, 2007

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