BRENT VOGEL

GRAND RAPIDS, MI
NPI1740601046
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601001059)
Enumeration Date2014-01-04
Last Update Date2014-01-04
Business Address
-- BRENT VOGEL ATC
530 CEDAR RIDGE DR NW APT 3A
GRAND RAPIDS, MI 49544-8512
Phone number: 616-893-8786
Mailing Address
-- BRENT VOGEL ATC
530 CEDAR RIDGE DR NW APT 3A
GRAND RAPIDS, MI 49544-8512
Phone number: