Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARCO DISTEFANO, AT, ATC
ActiveMARCO DISTEFANO, AT, ATC is a Athletic Trainer healthcare provider located in UNIVERSITY CENTER, Michigan. NPI 1790354405 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · UNIVERSITY CENTER, MI
Registration Details
- NPI Number
- 1790354405
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2021 (5.1312438401196 yrs)
- Last Updated
- Jun 18, 2021
- License
-
2601002258 (MI)
Practice Information
- Address
-
7400 BAY RDUNIVERSITY CENTER, MI, 487100001Browse MI providers · Browse ZIP 48710
- Phone
- 9899647233
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in UNIVERSITY CENTER, MI
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID CHARLES BERRY | PHD, ATC | 1386611846 |
| MR. JEREMY EUGENE GLASER | MS, ATC | 1619939717 |
| DR. PAUL A BALLARD | ED.D. | 1538257605 |
| JACQUELINE MARIE DETRICK | M.ED., ATC | 1871640367 |
| RYAN TIMOTHY GIBEAU | ATC | 1659718195 |
| STEPHANIE SCHULMEYER | AT, MS, ATC | 1639582380 |
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.