Individual
MICHAEL JOSEPH MACIEJEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,ATC
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3186
Mailing address
472 LAKEWOOD LN, MARQUETTE, MI 49855-9512
(906) 249-3913
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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