Individual
JOHN G MAKRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 343-1000
(313) 343-1665
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301061231
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300119326
RR MEDICARE #
MI
01
—
3008283582
BCBS PIN #
MI
05
—
4185173
—
MI
01
—
CB6220
MEDICARE RAILROAD GROUP
MI
Enumeration date
07/24/2006
Last updated
10/06/2022
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