Individual
DR. MICHAEL MAKSIMOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201
(313) 576-1000
(313) 966-1195
Mailing address
4646 JOHN R ST RM B2340, DETROIT, MI 48201-1916
(313) 576-1000
(313) 966-1195
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
4301114125
MI
2084P0800X
Psychiatry Physician
Primary
4301114125
MI
Other
Enumeration date
04/10/2013
Last updated
08/23/2018
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