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Individual

DR. MICHAEL MAIDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
44405 WOODWARD AVE # H23, PONTIAC, MI 48341-5023
(617) 721-2615
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5151013654
MI
2086S0102X
Surgical Critical Care Physician
Primary
R-13245
IA

Other

Enumeration date
06/10/2019
Last updated
06/12/2024
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