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Individual

MRS. MELINA LYNN HOLYSZKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, ATC

Contact information

Practice address
3133 S TELEGRAPH RD, DEARBORN, MI 48124-3472
(313) 565-6566
(313) 561-5554
Mailing address
3133 S TELEGRAPH RD, DEARBORN, MI 48124-3472
(313) 565-6566
(313) 561-5554

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
363A00000X
Physician Assistant
Primary
5601005863
MI

Other

Enumeration date
02/27/2007
Last updated
10/08/2010
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