Individual
WILLIAM T MAKOVIC II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3903 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9149
(269) 408-1100
(269) 408-1329
Mailing address
10059 SINGER LAKE RD, BARODA, MI 49101-9713
(269) 422-6685
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002618
MI
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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