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Organization

UNIVERSITY OF MICHIGAN- MEDSPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELINA LYNN HOLYSZKO ATC (CLINICAL ATHLETIC TRAINER)
(734) 930-7421
Entity
Organization

Contact information

Practice address
20321 FARMINGTON RD, LIVONIA, MI 48152-1411
(248) 888-9000
(248) 888-9115
Mailing address
9060 KINLOCH, REDFORD, MI 48239-1884
(313) 937-0018

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
MI

Other

Enumeration date
01/08/2007
Last updated
08/22/2020
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