Individual
MR. DANIEL JOSEPH MISIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
13850 E 12 MILE RD, WARREN, MI 48088-3730
(586) 552-4499
Mailing address
32531 OAKVIEW DR, WARREN, MI 48092-1089
(586) 264-3521
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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