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NPI Code Detail

MEDICARE: MICHAEL WESTERFER ATC

MEDICARE: MICHAEL WESTERFER ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerRT003099PA

General Provider Information

NPI Number : 1306819859
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL WESTERFER ATC
Provider Business Mailing Address
First Line : 3012 REBEL RD
Second Line :
City : LAFAYETTE HILL
State : PA
Zip : 19444-2008
Country : US
Telephone Number : 215-895-1734
Fax Number :
Provider Business Practice Location Address
First Line : 3141 CHESTNUT ST
Second Line : DREXEL UNIVERSITY - ATHLETICS
City : PHILADELPHIA
State : PA
Zip : 19104-2816
Country : US
Telephone Number : 215-895-1734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 07/08/2007

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