STEPHEN DOUGLAS MACKO

ALLEN PARK, MI
NPI1205074564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  L1392730)
Enumeration Date2009-01-25
Last Update Date2009-01-25
Business Address
Mr. STEPHEN DOUGLAS MACKO MPT
7105 ALLEN RD STE B
ALLEN PARK, MI 48101-2009
Phone number: 313-388-2853
Mailing Address
Mr. STEPHEN DOUGLAS MACKO MPT
1038 MARSHFIELD ST
FERNDALE, MI 48220-2346
Phone number: 313-399-1920