Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRANT MICHAEL VICKERMAN
ActiveGRANT MICHAEL VICKERMAN is a Athletic Trainer healthcare provider located in BIG LAKE, Minnesota. NPI 1457821795 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BIG LAKE, MN
Registration Details
- NPI Number
- 1457821795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2018 (7.5258616268619 yrs)
- Last Updated
- Nov 29, 2018
Practice Information
- Address
-
22037 181ST ST NWBIG LAKE, MN, 553098243Browse MN providers · Browse ZIP 55309
- Phone
- 7635670415
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BIG LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| CURTIS KOPOTIC | ATC | 1114374683 |
| PATRICK LIEBL | — | 1598206591 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.