Individual
ERIC ANDREW MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 S 7TH ST, ONTONAGON, MI 49953-1448
(906) 884-8240
(906) 884-6130
Mailing address
601 S 7TH ST, ONTONAGON, MI 49953-1448
(906) 884-8000
(906) 884-4384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301078977
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4336115
—
MI
05
—
4336124
—
MI
05
—
4548037
—
MI
01
—
EM078977
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/03/2006
Last updated
07/08/2007
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