Individual
CHRISTINE M MAGDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-8780
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005261
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11906654
CAQH
—
Enumeration date
05/29/2008
Last updated
02/25/2013
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