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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRANT MICHAEL VICKERMAN

Active

GRANT 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 NW
BIG LAKE, MN, 553098243
Browse 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.