Individual
THOMAS MACKOWIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
223 KALAMAZOO ST, EAST LANSING, MI 48824-5400
(517) 355-1627
(517) 432-1832
Mailing address
223 KALAMAZOO ST, ROOM 106, EAST LANSING, MI 48824-5400
(517) 355-1627
(517) 432-1832
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000739
MI
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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