JONAH THEODORE TAYKOWSKI

EAST LANSING, MI
NPI1487167169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36003032A)
Enumeration Date2017-11-16
Last Update Date2019-02-14
Business Address
JONAH THEODORE TAYKOWSKI
223 KALAMAZOO ST
EAST LANSING, MI 48824-5400
Phone number: 517-355-1627
Mailing Address
JONAH THEODORE TAYKOWSKI
338 S WALNUT ST APT B
BLOOMINGTON, IN 47401-3544
Phone number: 517-355-1627