Individual
GINA MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8927
(734) 240-4424
Mailing address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8927
(734) 240-4424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101021724
MI
207RI0200X
Infectious Disease Physician
Primary
5101021724
MI
Other
Enumeration date
04/06/2015
Last updated
05/13/2021
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