Provider Demographics
NPI:1124175856
Name:TUSCANY, WILLIAM J (MS, ATC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:TUSCANY
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
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Mailing Address - Street 1:151 KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-6026
Mailing Address - Country:US
Mailing Address - Phone:734-484-1745
Mailing Address - Fax:
Practice Address - Street 1:799 N HEWITT RD
Practice Address - Street 2:EASTERN MICHIGAN UNIVERSITY
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1701
Practice Address - Country:US
Practice Address - Phone:734-487-1360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer