Individual
JOHN MASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-8614
(616) 267-7015
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301036107
MI
Other
Enumeration date
06/12/2006
Last updated
08/04/2021
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