Individual
DR. FREDERICK MICHAEL MAISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7241 LANSING RD, PERRY, MI 48872-9743
(517) 675-5156
(517) 675-4914
Mailing address
4775 NAKOMA DR, OKEMOS, MI 48864-2026
(517) 349-1305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11090
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38-2339789
TAX IDENTIFICATION NUMBER
MI
Enumeration date
04/02/2007
Last updated
07/08/2007
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