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Individual

DR. JOHN MICHAEL MAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14044 W CAMELBACK RD STE 118, LITCHFIELD PARK, AZ 85340-9481
(623) 547-2600
(623) 547-1899
Mailing address
400 W 84TH DR, MERRILLVILLE, IN 46410-6248
(219) 736-1255

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
01067944A
IN
208800000X
Urology Physician
Primary
51207
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
093165
AZ
Enumeration date
02/25/2009
Last updated
07/21/2022
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