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Organization

PAUL MAKELA, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL MAKELA M.D. (OWNER)
(313) 870-9410
Entity
Organization

Contact information

Practice address
3011 W GRAND BLVD, SUITE 550, DETROIT, MI 48202-3096
(313) 870-9410
(313) 870-9415
Mailing address
3011 W GRAND BLVD, SUITE 550, DETROIT, MI 48202-3096
(313) 870-9410
(313) 870-9415

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301056367
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4854371
MI
Enumeration date
11/06/2007
Last updated
11/06/2007
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