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Contact Information

MARTHA S VANEENENAAM IWANICKI, ATC
FRASER HIGH SCHOOL
34270 GARFIELD
FRASER, MI48026
 Phone: 586-879-2398
 Fax: 586-415-1079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MARTHA S VANEENENAAM IWANICKI · (Female)

NPI Number 1316095342
Status Active
Credentials ATC
Entity Individual
Enumeration date 01/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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