Individual
DR. HENRY W. MAICKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24353 ORCHARD LAKE RD, SUITE E, FARMINGTON HILLS, MI 48336-1917
(248) 471-4777
(248) 477-1613
Mailing address
24353 ORCHARD LAKE RD, SUITE E, FARMINGTON HILLS, MI 48336-1917
(248) 471-4777
(248) 477-1613
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
HM026513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0632414
BLUE CROSS BLUE SHIELD
MI
01
—
102619
CARE CHOICES HMO
MI
01
—
148134
GREAT LAKES HEALTH PLAN
—
05
—
4359002
—
MI
01
—
4398521
AETNA
—
01
—
C4990
M CARE
MI
Enumeration date
03/03/2006
Last updated
07/08/2007
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