Individual
MR. RAYMOND MALEYKO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8400 N BECK RD, CANTON, MI 48187-1210
(734) 582-5697
Mailing address
28888 WESTFIELD ST, LIVONIA, MI 48150-3137
(734) 421-0508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
CERTIFIED ATHLETIC TRAINE
MI
Enumeration date
07/20/2006
Last updated
07/08/2007
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