Individual
MARILYN GAYE MAGGIONCALDA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
16001 W 9 MILE RD, DEPT OF NEONATOLOGY, SOUTHFIELD, MI 48075-4818
(248) 849-3046
(248) 849-8339
Mailing address
25925 TELEGRAPH RD, 210, SOUTHFIELD, MI 48034-2518
(248) 746-3218
(248) 746-0369
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
4704132421
MI
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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