Individual
MAYA ASHKENAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23003 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1965
(586) 779-6830
(586) 771-1603
Mailing address
23003 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1965
(586) 779-6830
(586) 771-1603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301070722
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4248970
—
MI
Enumeration date
01/18/2006
Last updated
07/08/2007
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