Individual
MRS. CASSANDRA ANN MAKSIMCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
168 S HOWELL ST, HILLSDALE, MI 49242-2040
(517) 437-5380
Mailing address
30200 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4502
(248) 258-5058
(248) 927-5058
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704230732
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704230732
MI
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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