Individual
MICHAEL P MASKILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7971 MOORSBRIDGE RD, PORTAGE, MI 49024-4075
(269) 323-2094
Mailing address
7971 MOORSBRIDGE RD, PORTAGE, MI 49024-4075
(269) 323-2094
(269) 323-2095
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901002313
MI
213E00000X
Podiatrist
POD1063
ME
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002313
MI
332900000X
Non-Pharmacy Dispensing Site
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Other
Enumeration date
07/01/2008
Last updated
10/23/2023
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