Organization
HENRY W. MAICKI, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY W. MAICKI M.D. (OWNER)
(248) 471-4777
Entity
Organization
Contact information
Practice address
24353 ORCHARD LAKE RD, SUITE E, FARMINGTON HILLS, MI 48336-1917
(248) 471-4777
(248) 477-1613
Mailing address
24353 ORCHARD LAKE RD, SUITE E, FARMINGTON HILLS, MI 48336-1917
(248) 471-4777
(248) 477-1613
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
HM026513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N39950
MEDICARE NUMBER
MI
Enumeration date
02/28/2008
Last updated
02/28/2008
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