Individual
KENNETH MAIESE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY HEALTH CENTER STE 8D, 4201 ST ANTOINE, DETROIT, MI 48201
(313) 745-4275
Mailing address
3800 WOODWARD AVE, SUITE 702, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301064448
MI
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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